HomeMy WebLinkAboutApplication Applicant 6/11/2024City 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
Permitp.
Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement: ❑✓ city: ❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGS: ❑
Project Inf• •
Applicant Name: Jacquie Gunnip Phone: 541-513-4494
Company: Hometown Cultivation OR, LLC E-mail:jacquie@cannxperts.com
Address: 1311 G St Springfield OR 97477
Property Owner: John P Hammer
Phone:
company: Oakway Golf Inc
E-mail:john@jphammer.com
Address: 2000 Cal Young Rd Eugene OR 97401
ASSESSOR'S MAP NO: 170232221 ITAX
LOT NOS : 1700
Property Address: 800 N 42nd St Suite G, H, I Springfield OR 97478
Description of proposal/ request:
OLCC Processor Cannabis license Concentrates only *"Water Use only**
Record•complete)
Record No:
Date Received:
Application Fee: 31i�� 00
Technical Fee:
TOTAL FEES: . Assigned Planner:
Revised 2023 04 04 slm
• .
OREGON LIQUOR ft CANNABIS COMMISSION REQUEST
Land Use Compatibility Statement
What is a land use compatibility statement (LUCS)? The LUGS 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:
I
4
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.
Applicant Name: Hometown Cultivation OR, LLC Phone: 1541-513-4494
Mailing Address
1311 G St
City: Springfield State: OR
Rm/Ste:
ZIP: 97477
❑ Site plan of the subject property and proposed development attached? (required)
Proposed 800 N 42nd St
Premises Address: Rm/Ste: G, H, I
City: Springfield County: Lane ZIP: 97478
Tax Lot #*: 1700 Range/ 02/32 Latitude: 44.051
Section*:
Township*: F17 -
Map*: 170232220 Longitude: 122.969
Proposed use/permit type sought (A separate LUCS may be necessary for each proposed use even if it is on the some property):
❑ Producer ❑ Wholesaler ® Processor ❑ Retailer ❑ Laboratory ❑ Research Certificate
Note indoor or List endorse -
outdoor below ments below
Details of proposed use (note any attachments):
Concentrates
cosd;sn.7SAA11900:.u1 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:
F-01
REMINDER: Local jurisdictions are N0T required to begin processing
LUCS forms until January 4, 2016 at 8:30 AM
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