HomeMy WebLinkAboutApplication Applicant 5/2/2024City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 974771k
SPRINGFIELD
LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF
MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER
Application form
Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement: D
City: ❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑
Project• •
Applicant Name: Capital Cannabis LLC Phone: 541-600-0567
Company: Capital Cannabis E-mail: angelica@capcannabis.com
Address: 90858 La Lone Road, Springfield, OR 97478
Property Owner: Susie Polen
Phone:
541-554-2285
Company: Polen Development LLC
E-mail:
susiepolen429@gmail.com
Address: PO Box 71751, Springfield, OR 97475
ASSESSOR'S MAP NO: 17032542
TAX LOT NOS : 1200
2155 Olympic Street, S
Property Springfield, OR 97477 Address:P � g
Description of proposal/ request:
OLCC licensed retailer
Recordmation (Staff to complete)
Record No: 91
4 Date Received:
C
5121 Zq
Application Fee: 3 o v
Technical Fee: $ .
25_
TOTAL FEES: Assigned Planner: L.,'
Revised 2023 04 04 shn
OREGON LIQUOR Et CANNABIS 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):
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 reouired 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.
Applicant Name: Capital Cannabis LLC Phone: 541-600-0567
Mailing Address:
90858 La Lone Road
City: Springfield State: OR
Rm/Ste:
ZIP: 97478
Site plan of the subject property and proposed development attached? (required)
Proposed 2155 Olympic Street Rm/Ste:
Premises Address:
City: Springfield County: Lane ZIP: 97477
Tax Lot #*: 1200 Range/ 3W/25 Latitude:
Section*: � L
Township*: 17S Map*: 17032542 Longitude:
Proposed use/permit type sought (A separate LUCS maybe necessary for 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 ments below
Details of proposed use (note any attachments):
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