Liquor Licence Application Form - Oregon

Business Location
This is the street address of the location that will have the liquor license.
Business Mailing Address
If you don’t want the OLCC to send you mail to your business location address, this is where the
OLCC will send your mail.
Business Numbers
If you have phone and/or fax number for the business list it here; or
If you don’t have a phone and/or fax number for the business leave this section blank.
Is the business at this location currently licensed by the OLCC
If you are taking over a business where alcohol is made, sold, or served the current owner should
be able to tell you the type of liquor license at that location.
Will you have a manager?
A manager is a person who is not an applicant or licensee; however this is a person who has
decision-making authority and whose primary duties include controlling the operation of the
licensed premises and its agents regarding the sale an d service of alcohol. [This definition may
apply to more than one person.]
If you will have a manager as described above, you must include a completed OLCC Individual
History form for this person with your application.
What is the local governing body where your business is located?
The local government is the local city if your business address is withi n the city’s limits; or
The local government is the local county if your business address is outside the city’s limits.
Contact person for this application
This is the person the OLCC can contact.
Applicant Signature(s)
Each individual person listed in the “Entity or Individuals applying for the license” section must
sign the application.
If an applicant in the “Entity or Individuals applying for the license” section is a legal entit y only one
person who is authorized to sign for the legal entity need sign the application.
A person with the authority to sign on behalf of the applicant (such as an attorney or a person with
power of attorney) may sign the application. Note that the OLCC will likely require proof of such
authority.
LA Instructions – page 2 of 2 (08/11)
Page 2/3
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Liquor Licence Application Form - Oregon PDF
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