HomeMy WebLinkAboutApplication Applicant 1/8/2024Revised 2023 04 04 slm
City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
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: City:
Dept of Motor Vehicles-Renewal: Zoning Verification Letter: UGB:
Project Information
Applicant Name: Phone:
Company: E-mail:
Address:
Property Owner: Phone:
Company: E-mail:
Address:
ASSESSOR'S MAP NO: TAX LOT NO(S):
Property Address:
Description of proposal/request:
Record Information (Staff to complete)
Record No: Date Received:
Application Fee: $ Technical Fee: $
TOTAL FEES: $ Assigned Planner:
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.
OREGON LIQUOR & CANNABIS COMMISSION REQUEST
Land Use Compatibility Statement
Section 1 – To be Completed by Applicant
*Sections marked with an asterisk should be verified with the local planning department prior to submitting this form.
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.
Applicant Name:
Mailing Address:
City:State:ZIP:
Rm/Ste:
Proposed
Premises Address:
City:County:ZIP:
Rm/Ste:
Tax Lot #*:
Township*:
Range/
Section*:
Map*:
Latitude:
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
Note indoor or
outdoor below
Processor
List endorse-
ments below
Wholesaler Retailer Laboratory Research Certificate
Phone:
Site plan of the subject property and proposed development attached? (required)
Details of proposed use (note any attachments):
CITY/COUNTY USE ONLY
Date delivered by license applicant:
Received by (print):
Initial:
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 January 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.
Section 2 – To be Completed by Local Jurisdiction
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.
Comments:
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
1/8/24, 11:37 AM ORMAP
https://ormap.net/gis/index.html 1/1
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