HomeMy WebLinkAboutApplication APPLICANT 11/10/2020OREGON LIQUOR CONTROL COMMISSION REQUEST
1 •
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 -
mew'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 LUC$ and have a positive LUC$ prior to issuing a license.
CIN/COUNTY USE ONLY
Date delivered by license applicant:
Received by (print):
nit al:
When is a LUCS required? A LUC$ is required for all proposed marijuana facilities before an OLCC license can be obtained.
How to complete a LUGS:
• 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 whetherthe proposed uses compatible with the acknowl-
edged comprehensive plan and land use regulations and returns signed and dated form to the applicant.
• Applicant completes paymentto localjurisdiction for processing application.
• Local jurisdictions are NOTrepuired to begin processing LUCSforms until)anuarv4. 2016at8:30AM.
• 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.
Applicant Name:[Jeremy Kwit Phone: 541-420-8833
Mailing Address: h SW Century Dr. STE 100-113 Rm/Ste:
City: lBend State:R] ZIP: 7702
❑ Site plan of the subject property, and proposed development attached? (required)
Proposed329
Olympic St
Rm/Ste:
Premises Address:
City:
Islanngfield
County:
ane
ZIP:
7477
Range/
Tax Lot 1t*:
1101
Section -Latitude:
Latitude:
Township*:
Map":
17032541
Longitude:
Proposed use/permit type sought (A separate LUCS may be necessaryfar each proposed use even if it is on the same property):
❑ Producer ❑ Wholesaler ❑ Processor ,/ Retailer ❑ Laboratory ❑ Research Certificate
Note indoor or List endorse -
outdoor below menu below
Details of proposed use (note anyarachmen[s):
Marijuana Retail
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 a conditional use, permits are required as noted below.
co.MenM
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
Submitted
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License
Issued
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License Fee Due ! :. _.. . All Fees Paid
1\\ The bcense is issued and can be
Applicant
printed ptheapplicant.It must be
pays [helbersirgfeein the entire ryslem. displayed prominm[ly at the location.