Liquor Licence Application Form - Oregon
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
I understand that if my answers are not true and complete, the OLCC may deny my license application.
Applicant(s) Signature(s) and Date:
______________________________ Date_________ ___________________________ Date________
______________________________ Date_________ ____________________________Date_______
Application is being made for:
LICENSE TYPES ACTIONS
Full On-Premises Sales ($402.60/yr) Change Ownership
Commercial Establishment New Outlet
Caterer Greater Privilege
Passenger Carrier Additional Privilege
Other Public Location Other __________
Private Club
Limited On-Premises Sales ($202.60/yr)
Off-Premises Sales ($100/yr)
with Fuel Pumps
Brewery Public House ($252.60)
Winery ($250/yr)
Other:_____________________
90-DAY AUTHORITY
Check here if you are applying for a change of ownership at a business
that has a current liquor license, or if you are applying for an Off-Premises
Sales license and are requesting a 90-Day Temporary Authority
APPLYING AS:
Limited Corporation Limited Liability Individuals
Partnership Company
CITY AND COUNTY USE ONLY
Date application received: ______________
The City Council or County Commission:
___________________________________
(name of city or county)
recommends that this license be:
Granted Denied
By:________________________________
(signature) (date)
Name:_____________________________
Title:_______________________________
OLCC USE ONLY
Application Rec’d by:___________________
Date:______________
90-day authority: Yes No
1. Entity or Individuals applying for the license: [See SECTION 1 of the Guide]
_________________________________________ __________________________________________
_________________________________________ __________________________________________
2. Trade Name (dba):_______________________________________________________________________________
3. Business Location:______________________________________________________________________________
(number, street, rural route) (city) (county) (state) (ZIP code)
4. Business Mailing Address:________________________________________________________________________
(PO box, number, street, rural route) (city) (state) (ZIP code)
5. Business Numbers:______________________________________________________________________________
(phone) (fax)
6. Is the business at this location currently licensed by OLCC? Yes No
7. If yes to whom:__________________________________Type of License:___________________________________
8. Former Business Name:__________________________________________________________________________
9. Will you have a manager? Yes No Name:
________________________________________________
(manager must fill out an Individual History form)
10. What is the local governing body where your business is located?____________________________________
(name of city or county)
11. Contact person for this application:
___________________________________________________________
(name) (phone number(s))
____________________________________________________________________________________
(address) (fax number) (e-mail address)
1-800-452-OLCC (6522) www.oregon.gov/olcc
(rev. 08/20)
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Liquor Licence Application Form - Oregon PDF
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