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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 �- �� . — .... ■� , �.:............ y — -- E .§� .� ) { ) |