HomeMy WebLinkAboutApplication Applicant 7/7/2023City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
LAND USE COMPATIBILIITY
MOTOR VEHICLES (DMV) an
Application form
SPRINGFIELD
' J
STATEMENT (LUCS), DEPARTMENT OF
J ZONING UIERIFICATION LETTER
Permit
Dept of Motor Vehicles -New: ❑ Land Use Compatillility Statement: cit*'. ❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verificatil
Project . •
A licant Name: 1. r *.;�
n Letter: ❑ UGB: ❑
Phone: S� I - S3 7- 6S S-/
Com an %.5 a YK C
E-mail: qw. sehc n
Address: Sa j I&Ave, %a^e 0$4-, Q
1-7471
Property Owner: L U L U 11t1C
Phone: S �� �' 0 5- Q
Company: G NS AokS 11'1
E-mail: IKFC@ 41 cRm u5how .
Address: A50 W-111 arAf tit 5 f'14"
eMc
012 q?q D S
ASSESSOR`S MAP NO: r?V'�
TAX LOT
NO 5 : 170230 003ao
Pro er Address: 3 i '�W6r
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U wi F; e 0R q7' 79
Description of proposal/ request:
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.Record Information (Staff to complete)
Record No:
Application Fee: 3 �5• DV
TOTAL Z=EES: 015
Dat
Tect
Assi
Received:
nical Fee:
ned Planner: \U
Revised 2023 04 04 slm
Kul
OREGON
DEPARTMENT OF
AGRICULTURE LAND USE
THIS FORM MUST ACCOMPANY THE
SECTION 1: TO BE FILLED OUT BY APPLICANT
1.
Business Name (Must match business name on Handler
Contact Person
Phone
Mailing Address 1 s o Ft'tCkSI
City j `OS6-t f
Location Address
City
S (i r
16
2. Describe the type of hemp business or facility and the se
C g D s41ot/+0p 'es l
(As, �
C
PATIBILITY STATEMENT (LUCS)
HANDLERS LICENSE APPLICATION
icat}on)
1 W1Se I�1
�. 511- S 7-6Ss9
Cel} Phone
ZIP 171-/ 71
2 # iW
OR zIP 4?7Y7%
or products provided:
aril✓ IDYodkCh .
�l Vey i �sS e �gYAJI W ACNOA
4R� geivy Flo...
SECTION 2: TO HE FILLED Pl iLAY CE�'�1 til; ��itStti#}!t!� CiUr=K-38L
3. The facility proposal is located: Inside city limits ❑ Ot tside UGB ❑ inside UGB ❑
4. Name of city or county that has land use jurisdiction:
(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 • Phone 503-286-4652 • Website: https://oda.direct/HEMP s
Hemp Handler license Application Rev. 11/22
SA. List all local reviews or approvals that were required of the applicant before the LUCS consistency was determined.
(This does not include past requirements that do not relate to tr&- pending ODA license request).
58. If no, identify reasons for noncompliance or list requirements that the applicant must comply with before LUCS
consistency can be determined. Y
5C. Is local government currently processing remaining requirements to attain LUCS consistency?
Yes ❑ No ❑
6. Planning official reviewer's telephone number:. i
Signature of Planning Official Print name , Title Date
(Depending upon city/county agreement on jurisdiction outside city li its but within UGB)
ATTENTION: A LUCS 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 5 through 5B must be attached to the LUCS.
• Question 5: The business or facility complies with all applicable local land use requirements is marked Yes.
Oregon Department of Agriculture, Hemp Program • Phone 503-986-46° 2 • Website: https://oda.direct/HEMP e
Hemp Handier License Application Rev. 11 /22