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PUBLIC HEALTH DIVISION
CENTER FOR HEALTH PROTECTION
Oregon Psilocybin Services
http://oregon.gov/psilocybinModification of Licensed Premises Request
To request a modification of a licensed premise,
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How to fill out modification of licensed premises

How to fill out modification of licensed premises
01
Obtain a copy of the modification of licensed premises form from the licensing authority.
02
Fill out the form with accurate information about the proposed modifications to the premises.
03
Include any supporting documents or plans that may be required to demonstrate the changes.
04
Submit the completed form and any additional materials to the licensing authority for review.
05
Await approval or denial of the modification request before making any changes to the premises.
Who needs modification of licensed premises?
01
Any business or individual who holds a license for a premises that wishes to make alterations or modifications to the licensed area.
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What is modification of licensed premises?
Modification of licensed premises refers to the process of changing or altering the physical layout, use, or operational features of a location that is licensed for specific activities, such as selling alcohol or serving food.
Who is required to file modification of licensed premises?
License holders or establishments that have a license to operate and wish to make changes to their premises are required to file a modification of licensed premises.
How to fill out modification of licensed premises?
To fill out a modification of licensed premises, one must complete the designated application form, provide detailed information about the changes being made, submit any required fees, and include any supporting documents, such as drawings or plans.
What is the purpose of modification of licensed premises?
The purpose of modification of licensed premises is to ensure that changes to a licensed location comply with legal regulations and safety standards, while also keeping authorities informed about how the premises are being utilized.
What information must be reported on modification of licensed premises?
Information that must be reported includes the nature of the modifications, a description of the premises, any changes in usage, floor plans, and compliance with local regulations.
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