HomeMy WebLinkAboutApplication APPLICANT 2/12/2022City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
PERMIT REVIEW INTAKE FORM
SPRINGFIELD
W 0#1
(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: Redbarn Dispensary
Phone: 541.863.1321
Company:
Cell:
Address: PO Box 850 Myrtle Creek Or 97457
Property Owner: 44 Real Estate LLC
Phone:
Company:
Cell:
Address: 3336 Lakeside Dr. Eugene Or 97401
ASSESSOR'S MAP NO: 17-03-22-20
TAX LOT NOS : 02601
Property Address: 1045 Gateway Loop Unit A & B
Description of Proposal: OLCC LUCS for retail marijuana dispensary
Record Information
Record No: 811-21-000022-TYP1
Date Received: 02/12/22
Application Fee: $ 343
Technical Fee: $ 17.15
TOTAL FEES: $360.15 Assigned Planner: Liz Miller
Revised 11.2.11 kl
OREGON LIQUOR CONTROL COMMISSION REQUEST
1 •
Land Use Compatibility Statement
What is a land use compatibility statement (LUCS)? The LUCS is a form used by a state agency
and local government to determine whether a land use proposal is consistent with local govern-
ment's comprehensive plan and land use regulations.
CIN/COUNTY USE ONLY
Date delivered by license applicant:
Received by (print):
Why isond use are required? OLCC arnd oma state
obecoagencies
stnwith
ith loci comprehensing or lactivitiesthat
affect land use are required by Oregon law to be consistent with local comprehensive plans and to
have a process for determining consistency. Section 34(4)(a) of 2015 Oregon Laws, Chapter 614, Initial:
requires OLCC to request and obtain the LUC$ and have a positive LUC$ prior to issuing a license.
When is a WCS required? A LUC$ 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 repaired to begin processing LUCS forms until )anuarv4. 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.
Applicant Name: Redbarn Dispensary
Mailing Address: P.O. sox 850
Phone: 541.863.1321
Rm/Ste:
City. Myrtle Creek State: OR ZIP' 97457
m Site plan of the subject property and proposed development attached? (required)
Proposed
Premises Address: 1045 Gateway Loop Rm/Ste: A a s
City. Springfield County: Lane ZIP. 97457
Tax Lot p•: Range/ Latitude:
2601 Section•: 03/22 44 04'46"N
Township•: 17 Map*: 1703222601 Longitude: 123 02'34"W
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 any attachments):
Redbarn Dispensary will operate a OLCC approved retail cannabis dispensary selling both
cannabis products.
Redbarn will strictly adhere to all OLCC and city of Springfield regulations, laws and c
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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