HomeMy WebLinkAboutApplication APPLICANT 8/21/2020City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
PERMIT REVIEW INTAKE FORM
SPRINGFIELD
W *At
(City Staff completes form)
Permit Type
Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement X city: ❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑
Project Information
Applicant Name: Corey Maizel Phone: 216-577-7301
Company: Cell:
Address: 2885 High Street Eugene Oregon
Property Owner: John & Nancy Ash
Phone:
Company:
Cell:
Address: 87550 Rhodowood Or Florence Oregon 97439
ASSESSOR'S MAP NO: 16-03-01-00
TAX LOT NOS : 03800
Property Address: 2187 South F Street Units M N O
Description of Proposal: LUCS for OLCC for indoor recreational marijuana production.
Record Information
Record No: 811-20-000152-TYP1
Date Received: 08/21/2020
Application Fee: $343
Technical Fee: $ 17.15
TOTAL FEES: $ 360.15 Assigned Planner: Drew Larson
Revised 11.2.11 kl
OREGON LIQUOR CONTROL COMMISSION REQUEST
Land Use Compatibility Statement
What is a land use compatibility statement (LUCS)? The LUCS is a form used by a state agency
and local government to determine whether a land use proposal is consistent with local govern-
ment's comprehensive plan and land use regulations.
Why is a LUCS required? OLCC and other state agencies with permitting or approval activities that
affect land use are required by Oregon law to be consistent with local comprehensive plans and to
have a process for determining consistency. Section 34(4)(a) of 2015 Oregon Laws, Chapter 614,
requires OLCC to request and obtain the LUCS and have a positive LUCS prior to issuing a license.
CITY/COUNTY USE ONLY
Date delivered by license applicant:
Received by (print):
Initial:
When is a LUCS required? A LUCS is required for all proposed marijuana facilities before an OLCC license can be obtained.
How to complete a LUCS
• Step 1: Applicant completes Section 1 of this form and submits it to the appropriate city or county planning office. Applicant
verifies with local jurisdiction whether additional forms, applications, or permits are required.
• Step 2: Local jurisdiction completes Section 2 of this form indicating whether the proposed use is compatible with the acknowl-
edged comprehensive plan and land use regulations and returns signed and dated form to the applicant.
• Applicant completes payment to local jurisdiction for processing application.
• Local jurisdictions are NOT required to begin processing LUCS forms until January 4. 2016 at 8,30 AM
• Step 3: Applicant submits this date-stamped form and any supporting information provided by the city or county to the OLCC
with the license application. This form may be submitted while Section 2 is in process with the local governing body.
Seitl 1 — To be Completed by Applicant
Applicant Name: Corey Maizel Phone: 16 577 7301
Mailing Address: 885 High St. �� Rm/Ste:
City: Eugene State: IOR ZIP: 7405
❑ Site plan of the subject property and proposed development attached? (required)
Proposed
Premises Address:
187 South F st.
Rm/Ste:
M!N/O
City:
Springfield
County:
Lane
ZIP:
7477
Tax Lot #-:
�� b� _q�_ V -o-&O J
Range/
Section- Section
Township•:
Map":
Longitude:
Proposed use/permit type sought (A separate LUCS may be necessary for each proposed use even if it is on the some property):
Producer ❑ Wholesaler ❑ Processor ❑ Retailer ❑ Laboratory ❑ Research Certificate
Note Indoor or List endorse
-
outdoorbelow ments below
Details of proposed use (note any attachments):
Weare turning units M/N/O in to a indoor OLCC compliant reciational growing facility.
Section 2—Tdbe:Ompleted by Lociii Jurisdiction
Site Location:
❑ Inside city limits ❑ Inside UGB ❑ Outside UGB
Name of Jurisdiction:
Property Zoning of
Proposed Premises:
❑ The proposed land use has been reviewed and is prohibited.
❑ The proposed land use has been reviewed and is not prohibited.
If the proposed land use is allowable only as o conditional use, permits are required as noted below.
c. m. M::
Name of Reviewing Local Official (print):
Title:
Date:
Email:
Phone:
Signature:
Check this box if there are attachments to this form:
REMINDER: Local jurisdictions are NOT required to begin processing
LUCS forms until January 4, 2016 at 8:30 AM
Life of a License Application
Submitted
Apaicansuhmits marijuana license
upplicatbn in online lirensing system and
poidnpplirntlanfse. —
Received
OLCCLicense Investlgatarrecanas
apokatloo and beginsreview.
Local Government
Land use Compnibility Statement and loco/
` opt-autrewewedfarprohibireduse. ,
Completeness Review
License hvestigatar and App limn callectall
\ addiianalnecessaryinformotion.
Application Review
Limnse Investigomrrewews application ro
determine if submittediafarmation
\ meets requirements. /
Premises Inspection
OLCChuapector visitssite tc determine
mmptoo, with physical regabement
..dty, operotlads, etc.
Approved
has met all requirements ofaPPlimtion
and Premises inspection. /
Prohibited Use
Denied
House Bill 3400 archtbRs the OLCC
from issuing a recreational
marijuana license if the proposed
use is prohibited by the local
governingbody.
Possible Denial
The OLCC must review for complianre
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bon. lnsomecases, aparenioldenal
Non-Compliant—�beo,�rcomei,theapwoneon
II .v .. :: ' correct Me issue or otherwise show good
............_s:...._:' .... .....::.............:..._.._:r cause to oveaome the denial basis.
Possible Denial
AfaiMdinspeRron meam d,n a premises
does Act meet security, aperniado( or
other requirements. An opportunity is
prowded to mnecta, mmandn e
issues, butfailure to do so or a second
failed inspection may result in application
denial.
License
Issued
License Fee Due All Fees Paid
The license is issued odd can be
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......
App'imntpays the ncensirg feeio the inline system. printed by the applicant R must
displayed prominently at the locatioin
n.