Oregon > Statewide > Liquor Control Commission
Business Information - Oregon
| Business Information Form. This is a Oregon form and can be used in Liquor Control Commission Statewide . |
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OREGON LIQUOR CONTROL COMMISSION BUSINESS INFORMATION Please Print or Type Applicant Name:_________________________________________ Phone:_____ _________________ Trade Name (dba):__________________________________________________________________ Business Location Address:___________________________________________________________ City:________________________________________________ ZIP Code:____________________ DAYS AND HOURS OF OPERATION Business Hours: Sunday Monday Tuesday Wednesday Thursday Friday Saturday ________ to ________ ________ to ________ ________ to ________ ________ to ________ ________ to ________ ________ to ________ ________ to ________ Outdoor Area Hours: Sunday Monday Tuesday Wednesday Thursday Friday Saturday ________ to ________ ________ to ________ ________ to ________ ________ to ________ ________ to ________ ________ to ________ ________ to ________ The outdoor area is used for: q Food service Hours: ________to ________ q Alcohol service Hours: ________to ________ q Enclosed, how ________________________ _ The exterior area is adequately viewed and/or supervised by Service Permittees. _____________________ (Investigator's Initials) Seasonal Variations: o Yes o No If yes, explain:_____________________________________ _________________________________________________________________________________ ENTERTAINMENT Check all that apply: DAYS & HOURS OF LIVE OR DJ MUSIC Sunday Monday Tuesday Wednesday Thursday Friday Saturday ________ ________ ________ ________ ________ ________ ________ to ________ to ________ to ________ to ________ to ________ to ________ to ________ o o o o o Live Music Recorded Music DJ Music Dancing Nude Entertainers o o o o o o Karaoke Coin-operated Games Video Lottery Machines Social Gaming Pool Tables Other: __________________ SEATING COUNT Restaurant: ________ Lounge: Banquet: ________ ________ Outdoor: ________ Other (explain): __________________________ Total Seating: ________ OLCC USE ONLY Investigator Verified Seating:____(Y) ____(N) Investigator Initials:_______________________ Date:__________________________________ I understand if my answers are not true and complete, the OLCC may deny my license application. Applicant Signature:___________________________________ Date:_______________________ 1-800-452-OLCC (6522) www.olcc.state.or.us American LegalNet, Inc. www.FormsWorkflow.com (rev. 04/03) American LegalNet, Inc. www.FormsWorkflow.com
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