HomeMy WebLinkAboutApplication APPLICANT 1/13/2023City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
PERMIT REVIEW INTAKE FORM
SPRINCIFIELD
W *
(City Staff completes form)
Permit Type
Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement X City: ❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑
Project Information
Applicant Name: RB Reeds ort 2 LLC
Phone: 541-863-1321
Company:
Cell:
Address: PO Box 850 Myrtle Creek Or 97457
Property Owner: Rick & Susan Moorhead
Phone:
Company:
Cell:
Address: PO Box 655 Marcola Or 97454
ASSESSOR'S MAP NO: 17-02-32-31
TAX LOT NOS : 2800
Property Address: 4360 Main Street
Description of Proposal: OLCC LUCS for cannabis dispensary for medical and recreational
Cannabis products.
Record Information
Record No: 811-23-000009-TYP1
Date Received:
Application Fee: $ 365
Technical Fee: $ 18.25
TOTAL FEES: $ 383.25 Assigned Planner: Jessica Shull
01110101
Revised 11.2.11 kl
OREGON LIQUOR CONTROL COMMISSION REQUEST
Land Use Compatibility Statement
What is a land use compatibility statement (LUGS)? The LUCS s a form used by a state agency
and local government Lo determine whether a land use proposal is consistent with local govern-
ment's comprehensive plan and land use regulals.m.
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.
WhenILUCS a
CITY/COUNTY USE ONLY
Data delivered by Ikensc applicaa,
nemiwd by aaiJ'
Imml:
s a required. A LUCS is required for all proposed marijuana facilities before an OLCC license can be obtained.
How to complete a LUCS
• Step 1: Applicam Completes Section 1 of this form and submits it to the appropriate city or county planning otfim. Applicant
verifies with local jurisdiction whether additional forms, applications, or permits are required.
• Step 2: Local jurisdiction completes Section 2 ofthis form indicating whether the proposed me 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 W CS forms until January 4 2016 at 81AM
• Step 3: Applicant submits this dare -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.
Section med by App -
Applicant Name:jB lsport2LLC Phone:
541.863.1321
Mailing Address: P.O. Box 850
City. Myrtle Creek
Rm/Ste:
State: OR ZIP: 97457
❑✓ Site plan of the subject property and proposed development attached? (required)
Proposed 43W Main St
Premises Address: Rm/Ste:
City: Springfield County: Lane ZIP: 97478
Tax Lot H": IU28U0 Range07142
section":: rosin^P 44.046080
Township': 17 Map': 1702723102800 Lansaw, -122.959660
Proposed use/permit type Sought (A separate LUGS maybe necessaryfareach proposed use even if it is on the some property):
El Producer ❑ Wholesaler ❑ Processor J Retailer ❑ Laboratory[Research Certificate
nam indoor or uuendprse-
poWoorbelow mems bebw
Details of pmposetl use mute any attachments):
Redbarn Dispcm my will operate an OLCC approved rerdil cannabis dispensary selling both reereadunal and medical cannabis
product_
Redbnm will strictly adhere to all OLCC and city of Springfield rogulations, laws and ordinances.
Site Location:
❑ Inside city limits ❑ Inside UGB
Name of Jurisdiction:
Property Zoning of
Proposed Premises:
❑ Outride UGB
❑ The proposed land use has been reviewed and is Prohibited.
❑ The proposed land use has been reviewed and is not Prohibited.
/f the proposed land use is allowable only as a conditional use, permits are required as noted below.
Commerce:
Name of Reviewing Local Official (print(:
Title:
Date:
Email:
Phone:
Signature:
Check this box ifthere are attachments to this form:
REMINDER: Local jurisdictions are NOT required to begin processing
LUCS forms until January 4. 2016 at 8:30 AM