HomeMy WebLinkAboutApplication APPLICANT 8/30/2021ACk OREGON LIQUOR CONTROL COMMISSION REQUEST
KHME
NJW Land Use Compatibility Statement
What is a land use compatibility statement (LUCS)? The LUGS 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
Date delivered by license applicant:
Pecelvel b�yr((prilp
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minor
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 Januanr 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.
Applicant Name: CFA Retail, LLC DBA Cannabliss Phone: 971-371-2671
Mailing Address: 13315 NE Airport Way Rm/Ste: 00
City: Portland State: OR ZIP: 7230
❑ Site plan of the subject property and proposed development attached? (required)
Proposed
2600 Main Street
Rm/Ste:
Premises Address:
City:
Springfield
County:
Lane
ZIP: 97477
Tax Lot N*:
Range:
tltuee:
700
Section*:
Township*:
Map*:
Longitude:
Proposed use/permit type sought (A separate LUCS may
be necessary for each proposed use even if it is on the same property):
❑ Producer ❑ Wholesaler ❑ Processor
✓ Retailer ❑ Laboratory
❑ Research Certificate
Note indoor or List ani
outdaorbelnw mens below
Details of proposed use (pace any attachments):
There is an eicsisting dispeneary at this location, this new LUCS is to complete a Change of Ownership.
Section 2 -To be Completed by Local I urisclicti on
Site Location:
56 Inside city limits ❑ Inside UGB ❑np Outside UGB
Name of Jurisdiction:
Property Zoning of f
Proposed -Premises: C�I1'ICI') 1
❑ 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.
CammenYs: �"
�Q(�{(fr(S Y1QW pG(�iYl(�S I(CQIISQ��rrll Irl nWn�l/SQO�,
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
Life of a License Application
Submitted
Applicant submhs mariyean a license
application in online Rossing system and
poidapplica6onfee. I
Received
OLCC License Ovestlgalar recedes
applkationandbeginsreview.
Local Government
Land Use Compatibility Statement and local
I opt-oulreviewedforprohildeduse. �
Completeness Review
renselnwiti,tarandAppllmntcolkctall
adaitional necessary information.
Application Review
❑cense MvesGgarorrevewsopplication to
determine ysubmitted informal'
\ meets requirements.
Premises Inspection
OLC \l nspectm vihyssiteeo determine lianre "ahaphysical requirement
Semety, opervlbns, etc.
Approved
and premises imcwtion.
Possible Denial
The 0¢Cm-IrevkwInr comp 11 anne
with odmi,!.. ive rules and Ore
. x` ...v_...�._....,, aon
w. In s.e cases, apoterrtialeenial
Non -Compliant lomoybeoercom rytreappltr ntcon
._....c....is`__.::._:.......: c_.
rorrect Me dale or othervace show goad
m
,....._: use to overcome the denial6osis.
,...............,,_ _.,f Possible Denial
mpliant > A foiled InspMionmea .haat a premises
does notmeetsecarnr, roerotbrml, ar
1 Sprdwdgdoondecer,cmallance
pa"le"d to .neo dol mmpliaace
butfailure y cbso or asemnd
Jailed inspection aerial, ttin apofrmdon
denid
License
Issued
License Fee Due1 all Fees Paid
The license isasuedand con be
printed by the applicant It must be
Applicon[pays haeliceru'ingfee in the online syskm.
displayed promin "oily at the location.
Denied
/M. Bill 3400prohlbds thea¢[
Use11
from issuing a recreational
.�....4 ,`
mariju .. license Lithe proposed
II\
use is p robibited by the local
governingbody.
Possible Denial
The 0¢Cm-IrevkwInr comp 11 anne
with odmi,!.. ive rules and Ore
. x` ...v_...�._....,, aon
w. In s.e cases, apoterrtialeenial
Non -Compliant lomoybeoercom rytreappltr ntcon
._....c....is`__.::._:.......: c_.
rorrect Me dale or othervace show goad
m
,....._: use to overcome the denial6osis.
,...............,,_ _.,f Possible Denial
mpliant > A foiled InspMionmea .haat a premises
does notmeetsecarnr, roerotbrml, ar
1 Sprdwdgdoondecer,cmallance
pa"le"d to .neo dol mmpliaace
butfailure y cbso or asemnd
Jailed inspection aerial, ttin apofrmdon
denid
License
Issued
License Fee Due1 all Fees Paid
The license isasuedand con be
printed by the applicant It must be
Applicon[pays haeliceru'ingfee in the online syskm.
displayed promin "oily at the location.
(City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
PERMIT REVIEW INTAKE FORM
SPRINGFIELDIL
(City Staff completes form)
Permit Type
Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement: X City: X
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑
Project Information
Applicant Name: CFA Retail DBA Cannabliss
Phone: 971-371-2671
Company:
Cell:
Address: 13315 NE Airport Way Ste 700 Portland Or 97230
Property Owner: Kr Is Investments Inc
Phone:
Company:
Cell:
Address: 3474 Spring Blvd Eugene Or 97405
ASSESSOR'S MAP NO: 17033641
TAX LOT NO 5 : 00701
Property Address: 2600 Main Street
Description of Proposal: OLCC LUCS for change of ownership of marijuana dispensary
Record Information
Record No: 811-21-000228-TYP1
Date Received: 08/30/2021
Application Fee: $ 348
Technical Fee: 17.40
TOTAL FEES: $ 365.40 Assigned Planner: L Miller
Revised 112.11 kl