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Home My WebLink AboutApplication APPLICANT 6/22/2022(City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 PERMIT REVIEW INTAKE FORM 6 (City Staff completes form) .-rmit 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: Ashok Fernando Phone: 503-998-9985 Company: Cell: Address: 570 Lawrence Street Eugene, OR 97402 Property Owner: My 401KLLC Phone: Company: Cell: Address: 1417 Wimbledon Place, Springfield, OR 97477 ASSESSOR'S MAP NO: 17033642 TAX LOT NOS : 03400 Property Address: 2147 Main Street Description of Proposal: OLCC LUCS for Retail Marijuana Dispensary Record Information Record No: 811-22-000155 Date Received:L. Miller Application Fee: 348 Technical Fee: $17.40 TOTAL FEES: $365.40 Assigned Planner:L. Miller Revised 11.2.11 k1 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 Date delivered 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 Iota l jurisdiction for processing application. • Local jurisdictions are NOT required to begin processing LUCS forms until January 4. 2016 at 8:30 AM • Step 3: Applicant submits this date-stamped farm 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. Section 1 —To be Completed by Applicant Applicant Name: DNA RETAIL OREGON, LLC Phone: 03-998-9985 Mailing Address: 570 LAWRENCE STREET Rm/Ste: 21 City: EUGENE State: OR ZIP: 97402 ❑ Site plan of the subject property and proposed development attached? (required) Proposed147 MAIN STREET Rm/Ste: Premises Address: City: PRINGFIELD County: LANE ZIP: 7477 Range/ Tax Lot #': Sections: w mme: Township"': Map': Laughed, Proposed use/permit type sought (A separate LUCS may he necessary for eachproposed use even even if iuse iif ill t is on the some property): ❑ Producer ❑ Wholesaler ❑ Processor ❑ Retailer ❑ Laboratory ❑ Research Certificate Note indoorar Ust ,dorse- outdoor below marts below Details of proposed use (note any attachments): Section 2— To be Completed by Local Jurisdiction Site Location: ❑ Inside city limits ❑ Inside UGB ❑ Outside UGB Name of lu risdiction: 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 os a conditional use, permits are required as noted below. camme�t:: 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 Apphruct submits nwrijuanalicense opplimtion in online hodolingsyslem and paidappldation fee. Received \ Otte License lnvesdgarorreceiees cold round andbeginvemew. Denied House Bill 3400prohibits the OLCC Prohibited Use from issuing a recreational Local GovemmentC.._3%...:'L.....: L..._z:..._<_.-;e"_.:.....y....marijuana license tfthe proposed .: use is prohibited by the local Land Use (dopatibility Raremertt andlaol j governingbody. ` opt -out reuewedjarproNbltetluse. 777 eview nttollectoilPossible Denial ation. The OLll mart revkw jar compX once ._v;..._..a__.,.-:.. whh admini4rative roes add Oregm law. Insamecod". o potentialdenid J> Non -Compliant `> mnybemercomefthoo,dicantcm Application Review >or ct mei sae oroMr se snow goad I.:..___..:__..,:._..:...._...........i............u.__-" Was to ove¢ome[he denml basis. ❑reuse Inves if,.b reviews apples io n to de terminestsir,doedinformation meets requirements. -: Possible Denial �o Non Compliant ;> Af kdid,daionmeambootepremses Premises Inspection 1:..:'....:z....,.._ ::...i:Z._.:4:..._ %::.._, does norm etsecuritg opera ional,w a[herrequirernents. An appwNniryis OLCc Inspecon,W'tssite to tletermme ocambad to ronectany comp ponce compliance Wall reglircement, .sues, butfoilore to da so or o second Seradio operations, etc. foiledinspecbonmay resuh is application denid. Approved ontl premises Inspecdon. License Issued License Fee DueAll Fees Paid !I. p' �.;_ _yj The license is issued and can be printed by the applicant. It must be Applrcantpvys the I¢errsing fee in the online system. displayed prominently at the location.