Fillable Printable Liquor Licence Application Form - Oregon
Fillable Printable Liquor Licence Application Form - Oregon
Liquor Licence Application Form - Oregon
LIQUOR LICENSE APPLICATION
FORM INSTRUCTIONS
License Types
Check the box for the license or licenses for which you are applying.
If your license type is not listed check the “other” box and write in the name of your license.
License Actions
Change Ownership: means you are applying for a liquor license at a business that has the same
type of liquor license for which you are applying and the liquor license is current (not expired).
New Outlet: means you are applying for a liquor license at a location that currently doesn’t have a
liquor license.
Greater Privilege: means you already have a Limited On-Premises Sales liquor license at a
business and you want to give up that liquor license and get a Full On-Premises Sales liquor
license.
Additional Privilege: means you already have a liquor license at a business and want to add
another liquor license at that business.
Other. The most common actions are:
Addition of Partner: means you are adding a person or legal entity as a license applic ant
Change of Location: means you are moving your existing business and the same liquor license
to a different location
Second or Third Location: a Brewery-Public House licensee is allowed to apply for a second
location; a Winery licensee and Grower Sales Privilege licensee may apply for a third
location
Entity or Individuals applying for the license
Any person or legal entity (like a corporation or limited liability company) that will own or control
the business must be listed as an applicant. This includes a person or legal entity that will:
Receive profits from the business
Occupy the real property (either as an owner or tenant)
Have control over the personal property
Provide food service
Manage or operate any part of the licensed premises other than as an employee
If you are applying as a legal entity the name of the legal entity will be the applicant.
If you are not applying as a legal entity then your name should be listed as the applicant.
Trade Name
This is the name you will call the business (the name customers will see).
LA Instructions – page 1 of 2 (08/11)
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)
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)
