Loading...
HomeMy WebLinkAboutApplication APPLICANT 1/28/2021City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 PERMIT REVIEW INTAKE FORM SPRINGFlE D (City Staff completes form) Permit,. Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement: X City: X Dept of Motor Vehicles -Renewal: ❑ Project Information Zoning Verification Letter: ❑ UG6: ❑ Applicant Name: Joshua Fowler Phone: 541-556-9779 Company: Celh Address: 3009 Teal Place, Eugene, OR 97404 Property Owner: Polen Development Phone: Company: Cell; Address: PO Box 71751, Springfield, OR 97475 ASSESSOR'S MAP NO: 17032542 TAX LOT NOS : 01200 Pro er- -Address: 2 -155 -OI m-ic-Streeter-r-in fieldrOR-97477 Description of Proposal:OLCC LUCS for Retail Recreational Marijuana Record Information Record No: 811-21-000078-TYPS Date ReceivedA/26/21 Application Fee: $343 Technical Fee: $17.15 TOTAL FEES: $360.15 Assigned Planner:L. Miller Revised 11.2.11 k1 OREGON LIQUOR CONTROL COMMISSION REQUEST MEME NW Land Use Compatibility Statement What is a land use compatibility statement (LUGS)? The LUCS is a form used by a state agency and local government to determine whether a land use proposal is consistent with local govem- ment'scomprehemive 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)(x) of 2015 Oregon Laws, Chapter 614, requires OLCC to request and obtain the LUCS and have a positive LUGS prior to Issuing license. CITY/COUNTY USE ONLY pate delivered by license applicant 11.2y1Ll Initial. l'r When Is a LUGS required? A LUCS Is required for all proposed marijuana facilities before an OLCC license can be obtained. Have to complete a LUES: • 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:LamIjurisdictloncompletesSection2ofthisformindicatingwhethertheproposeduseiscompatiblewiththeacknowl- 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. • Land jurisdictions are NOT mauimdto 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. _ ��iYe��F•'�t-ahtc�+, rsm��s�:+�*�wwt.p� trvJ!rhb�tcretzta�a3,h?I.?,�f1:'t+-:�fn...irl�sl3t'!!��TE I Applicant Name: psL� Phone: Mailing Address:al r� Rm/Ste: City: g State: b ZIP: 4fi4o ❑ Site plan of the subject property and proposed development attached? (required) ProposedRm/Ste: Premises Address: �LiSS" Ot cC-+- '}} City: S County: ® ZIP: 41V— Tax Lot #•: Section 5—"I L� Z Range )) lantnee: Township': U— map*: 2 Lonsitada: Proposed use/permit type sought (A separate LUCS maybe necessaryfor each proposed use even ¢it is an the same property): ® Producer E] Wholesaler ❑ Processor ®, Retailer laboratory [] Research Certificate Note indoor or List endorse- outdooluch. mens below Details of proposed use jact. toy attactimens): Q' INV5 mgvh(s log+ion Section.2 — To be Completed by Local Jurisdiction Site Location: E Inside city limits ■ Inside UGB F1 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. 7f the proposed land use is allowable only as a conditional use, permits are required as noted below. mmmenn: (s Silo. CtmplleS Lo(+I,, Ordinahu 05) or r'ef I �QCr�u+i ono Mko l U6r)A- s*& . no other mord A n rti USe iS `th'S S( Name of Reviewing Local Official (print): Title: Date: Email: Phone: Signature: Check this box if there are attachments to this form: El Li Milifr IQ � h'1 i I (l ✓i I Or. MMINC R Local' -funs ct+lons ars NOT req.Wedd to begin processing Luh #6f " uritil jinuary 4.2oi6,it,8:30 ASR