HomeMy WebLinkAboutApplication Applicant 9/28/2023City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
SPRINGFIELD
W
LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF
MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER
Application form
Permit Type
Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement 2
city: ❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑
Project Information
UGB: ❑
Applicant Name: Jeff Struhar
phone:(503)887-4841
company: CBR, INC DBA CHALICE
I E-mail:permits@apw1nvestmerts.wm
Address: 17937 SW McEwan Rd. #250 Tualatin, OR 97224
Property Owner: Renee Kryl
Phone:
541-255-7786
Company: Kryl's Investments
I E-mail:
krylsinvestments@gmail.com
Address: 3474 Spring Blvd., Eugene, OR 97405
ASSESSOR'S MAP NO:
I TAX LOT NOS : 700
Property Address: 2600 Main St Springfield, OR 97477
Description of proposal/request:
Change of Ownership for existing marijuana retailer at this location. New LUCS required.
Record Information (Staff to complete)
Record No:
Date Received:
Application Fee: $
Technical Fee: $
TOTAL FEES: $ Assigned Planner:
Revised 2023 04 04 sin
OREGON LIQUOR @ CANNABIS COMMISSION REQUEST
, 1
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 -
mew'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 LUC$ and have a positive LUC$ prior to issuing a license.
CIN/COUNTY USE ONLY
Date delivered by license applicant:
Received by (print):
nit al:
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 LUGS:
• 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 whetherthe proposed uses compatible with the acknowl-
edged comprehensive plan and land use regulations and returns signed and dated form to the applicant.
• Applicant completes paymentto localjurisdiction for processing application.
• Local jurisdictions are NOTrepuired to begin processing LUCSforms untillanuarv4. 2016at8:30AM.
• 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: CBR, INC DBA CHALICE Phone: (503)887-4841
Mailing Address: 17937 SW McEwan Rd. Rm/Ste: 250
City; Tualatin State: OR ZIP: 97224
❑ 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
Range/
Tax Lot p*:
700
Latitude:
Section -Latitude:
Township*:
Map':
Longitude:
Proposed use/permit type sought (A separate LUCS may be necessaryfar each proposed use even if it is on the same property):
❑ Producer ❑ Wholesaler ❑ Processor ,/ Retailer ❑ Laboratory ❑ Research Certificate
Note indoor or List endorse -
outdoor below menu below
Details of proposed use (note snyarachments):
New LUCS to complete a Change of Ownership. Existing dispensary currently at this address.
Site Location:
❑ Inside city limits ❑ Inside UGB ❑ Outside UGB
Name of Jurisdiction:
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 as a conditional use, permits are required as noted below.
co.MenM
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
Submitted
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governingbody.
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Applicant
Pays [helbersirgfeein the entire ryslem. displayed prominently at the location.