Fillable Liquor License Records Check Master Form

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Liquor License Records Check Master Form

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File type: PDF

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CITY OF FOREST GROVE ● P.O. BOX 326 ● Forest Grove, OR 97116-0326 ● www.forestgrove-or.gov ● PHONE 503-992-3200 ● FAX 503.992.3207
Complete Application and Submit to:
City of Forest Grove
Attn: City Recorder
1924 Council Street, 2
nd
Floor ● P. O. Box 326
Forest Grove, OR 97116-0326
Fax ● 503.992.3207 Office ● 503.992.3235
E-mail: aruggles@forestgrove-or.gov
LIQUOR LICENSE RECORDS CHECK APPLICATION
Local Government Recommendation: The Oregon Liquor Control Commission (OLCC) requires applicants seeking a liquor
license to acquire the recommendation of the City of Forest Grove (local governing body), and pay all fees as established by
ORS 471.166. The City Code Section 110.071-110.073 requires an applicant requesting city endorsement for a new liquor
license; temporary sales, special event and/or annual renewal liquor licenses to submit this application, along with the applicable
OLCC forms, and pay the City’s application fee. Businesses must have a valid City Business License. Background
Investigation: The Police Chief reviews any new liquor license applications. If the Police Chief recommends approval, the matter
is scheduled as an agenda item before the City Council. After due consideration of pertinent information, the Council shall make
its recommendation. If the Police Chief forwards a recommendation of denial, notice to the applicant will be given in writing,
postmarked no later than seven business days, prior to the public hearing at which the matter will be considered. Any person
wishing to present testimony will be given an opportunity before closing of the public hearing. In the case of an adverse
recommendation, findings will be produced and forwarded to the OLCC, along with the City Council recommendation. Process
Time: Allow 3-4 weeks for the City to conduct its background investigation on a new liquor license application. Allow five (5) days
for review of a special event application. The City may refuse to process an application if it is not submitted in sufficient time to
allow the City to complete its investigation. License Fees: Make payment by cash, check or money order, payable to the City of
Forest Grove. The liquor license application fees are nonrefundable.
1. APPLICATION LICENSE TYPE:
BP Brewery Public House
F-COM Full On-Premises Commercial
F-CLU Full On-Premises Private Club
L Limited On-Premises
O Off-Premises
Other _________________________
TSL Temporary Sales
TSL Temporary Sales Annual
SEW Special Event Winery
SEG Special Event Grower
SED Special Event Distillery
2. APPLICATION LICENSE FEE:
New License Application $100.00
Change of License Application $75.00
Temporary License Application $35.00
Temporary Use of Annual License (no fee)
Annual License Renewal Application $35.00
Special Event Application $20.00
3. FIRST AND LAST NAME OF APPLICANT/LICENSEE:
4. E-MAIL:
5. BUSINESS / TRADE NAME (DBA):
6. CITY BUSINESS LICENSE NUMBER:
7. BUSINESS ADDRESS / MAILING ADDRESS (if different) City / State / Zip:
8. BUSINESS TELEPHONE NUMBER:
I understand the City of Forest Grove will use the information provided to conduct a background investigation.
9. APPLICANT/LICENSEE SIGNATURE:
10. DATE:
Police Use Only
Records Check
FIRST NAME
LAST NAME
SEX:
(F / M)
DATE OF BIRTH
(MM/DD/YYYY)
DRIVER LICENSE or ID #
STATE ISSUED
DMV
LEDS
NCIC
CCH
FOR OFFICIAL USE ONLY
Date Rec’d:
By:
Fee Paid:
Approval Date:
Council Action:
Yes
No
A place where families and businesses thrive.
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Liquor License Records Check Master Form

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Completed 12 July 2020

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