OREGON LIQUOR CONTROL COMMISSION OFF-PREMISES SALES INVENTORY Please Print or Type Applicant ________________________________________________________________________ Business Name ___________________________________________________________________ City __________________________________________________________________________ ___ The Commission will refuse an Off-premises Sales license at a premises that sells motor vehicle fuel (gas pumps), unless the applicant maintains a wide variety of grocery inventory available for sale. [OAR 845-005-0326(4)(b)] "Wide variety" means an inventory at a cost to the applicant of at least $5,000 of foods that satisfy the general public's ordinary eating habits and personal and household products. You cannot count alcoholic beverages or tobacco products. You cannot count snack food items that exceed ten percent of the inventory. Grocery inventories may be verified by an Inspector during premises visits. Below are examples of products that can (yes) and cannot (no) be counted toward the $5000 inventory. YES MILK BREAD CANDY CANNED FOOD DRUGS FRESH FRUIT FRESH VEGETABLES JUICE MEAT PAPER PRODUCTS (such as Kleenex, disposable diapers, etc.) NO APPLIANCES BEER & WINE FISHING BAIT HARDWARE PRODUCTS MOTOR OIL SPORTING GOODS TOBACCO PRODUCTS PREPARED FOOD TO GO (sandwiches, hot dogs, etc.) PET FOOD SOAP SODA POP I certify that I have and will maintain inventory at my premises that meets or exceeds the requirements as stated above. Applicant(s) Signature ______________________________________ ___ Date _____________ _ __ 9079 SE McLoughlin Blvd., Portland, OR 97222-7355 G PO Box 22297, Milwaukie, OR 97269-2297 Ph:(503) 872-5070 G www.oregon.gov/olcc (rev. 12/07) American LegalNet, Inc. www.FormsWorkflow.com