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Home My WebLink AboutApplication APPLICANT 6/25/2021City of Springfield Development & Public Works 225 Fifth Street Springfeld, OR 97477 PERMIT REVIEW INTAKE FORM eiPiilNOP1� (City Staff completes form) 1 Permit Type Dept of Motor Vehicles -New: ❑ land Use Compatibility Statement: ® City: Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑ Project Information Applicant: Alejandro Moreno Phone: 541-914-5600 Company: Emerald Valley Labs LLC Email: Address: 89780 Greenhill Road, Eugene, OR 97402 Property Owner: Furlong Family LLCPhone: Company: Cell: Address: 3714 Virginia Ave., Springfield, OR 97478 ASSESSOR'S MAP NO: 17023232 TAX LOT NO(S): 1300 Property Address: 136 42nd Street, Springfield, OR 97478 Description of Proposal: ODA Hemp Processing Change of Ownership Record Information Record No: 811-21-000160-TYP1 777 Date Received: June 25, 2021 Application Fee: $343.00 Technical Fee: $17.15 TOTAL FEES: $360.15 Assigned Planner: Andrew Larson Revised 11.2.11 Id OREGON LAND USE COMPATIBILITY STATEMENT (LUCS) DEPARTMENT OF AGRICULTURE THIS FORM MUSTACCOMPANYTHE HEMP HANDLERS REGISiRATIONAPPLICATION SECTION I: TO BE FILLED OUT BY APPLICANT 1. Business Name EITTeral)Valley Labs LLC Phone 541-914-5600 Contact Person Alejandro Moreno Cell Phone Mailing Address89780 Greenhill Road City Eugene state OR ZIP 97402 Location Address 136 42nd Street city Springfield State OR ZIP 97478 Tax Acct.# 127371 Tax Lot# 1300 Township 17023232 Range Section Latitude Longitude Property zoning Light Medium Industrial 2. Describe the type of hemp business or facility and the services or products provided: ODA Hemp Processing 3. The facility proposal is located: Inside city limits Q Outside UGBBI +❑ Inside UG❑ 4. Name of city or county that has land use jurisdiction: City of Springfield (Jurisdiction means the legal entity that is responsible for land use decisions for the subject property) 5. The business or facility complies with all applicable local land use requirements: Yes No❑ Oregon Department of Agriculture, Hemp Program • Prane503-966-4652 • WebpHd.hftpW/dedmecVHEMP Hemp Handler Registration Application Rev.11/20 5A. List all local reviews or approvals that were required of the applicant before the LUGS consistency was determined. (This does not include past requirements that do not relate to the pending ODA registration request). Previously approved site, change of ownership only 5B. If no, identify reasons for noncompliance or list requirements that the applicant must comply with before LUCS consistency can be determined. 5C. Is local government currently processing remaining requirements to attain LUCS consistency? Yes 1:1 No M 6. Ing ffi eIreviewer's telephone number:541-73V-1003 Andrew Larson Planner OW512021 atureof Planning Official Print name Title Date (Depending upon city/county agreement onjurisdiction outside city limits but within UGB) ATTENTION:A WCS approval cannot be accepted by ODA until the following: • All local requirements have been met • Written findings of fact for all local decisions addressed under 6 through 6B must be attached to the LUGS. • Question 6: The business or facility complies with all applicable local land use requirements is marked Yes. 0regan Department ofAgHculWre, Hemp Pmgmm • Phona503-986-9652 • Webs1te:hapm//adaA1rect/HEMP Hemp HamJWReglstmtlon Appllutlon RO.11/20