HomeMy WebLinkAboutApplication APPLICANT 3/25/2021City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
PERMIT REVIEW INTAKE FORM
S�PRINOFI
(City Staff completes form)
Permit,.
Dept of Motor Vehicles -New: ❑
Land Use Compatibility Statement: city:
❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB:
Project Information
❑
Applicant: Shane Cavanaugh Phone: 541-579-3111
Company: Cell:
Address: 2 Centerpointe Dr., Lake Oswego, OR 97035
Property Owner: Defoe Family Irrevocable Trust
Phone:
Company:
Cell:
Address: 93477 Pitney Ln, Junction City, OR 97448
ASSESSOR'S MAP NO: 17-03-22-20-02300
TAX LOT NO(S): 2300
Property Address: 3260 Gateway, Springfield, OR 97477
Description of Proposal:
LUCS - OLCC Marijuana Retail
Record Information
Record No: 811-21-000061-TYP3
Date Received: 03/25/2021
Application Fee: $343.00
Technical Fee: $17.15
TOTAL FEES: $360.15 Assigned Planner:
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
nate dellyered by license applicant:
Received by (print):
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 lanuarv, 4. 2016 at 8:30 AM.
Step 3: Applicantsubmits this date-stamped form and any supporting information provided by the city or county to the OLCC
with the license application. This form maybe submitted while Section 2 is in process with the local governing body.
Applicant Name: Shane Cavanaugh Phone: F541 579
Mailing Address: 2 Conterpoime Or Rm/Ste: 345
City: Lake Oswego State: OR ZIP: 97035
Site plan of the subject property and proposed development attached? (required)
Proposed
3260 Gateway St
Rm/Ste:
Premises Address:
City:
Springfield
County:
Lane
ZIP:
97477
Range/
Tax Lot ft*:
2300
3W/22
Lantude:
44.08075
Section*:
Township*:
17S
Map*:
17032220
Longitude:
-123.04277
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
None indoor or
List endorse-
outdoorbelow
mems below
Details of proposed use (note any anachments):
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.
Commenn:
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
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