Fillable Application for a Conditional Use Permit (State of Oregon)

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Application for a Conditional Use Permit (State of Oregon)

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Conditional Use Application Form 6/8/20
Application for a Conditional Use Permit
Date Received: __________
Date Complete: __________
File Number: __________
Application Fee $: __________
Receipt #: __________
Hearing Date: __________
Applicant’s Name:
________________________________________
Property Owner:
________________________________________
Applicant’s Address:
________________________________________
Owner’s Address:
________________________________________
Applicant’s Phone and e-mail:
________________________________________
Owner’s Phone and email:
________________________________________
Subject Property Address:
_____________________________________________________________________________________
Subject Property Assessor’s Map and Tax Lot:
_____________________________________________________________________________________
Subject Property Size:
_____________________________________________________________________________________
Subject Property: Zoning Classification
________________________________________
Comprehensive Plan Classification:
________________________________________
Nature of Applicants Request
Narrative describing the proposed use: Brief Description on this form and attach extra sheets if needed.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Impacts on the neighborhood: Include traffic, parking, noise, odor, dust or other impacts. Brief Description on
this form.
_______________________________________________________________________________________
_______________________________________________________________________________________
Submittal Requirements
The checklist on the other side of this application lists the required items must be submitted with this
application and the Criteria the request must meet. Please address all items that apply to this request.
I certify that the statements contained on this application, along with the submitted materials, are in
all respects true and are correct to the best of my knowledge and belief.
Applicant's Signature:
__________________________________________
Date:
___________________________________
Property Owner’s Signature:
____________________________________
Date:
___________________________________
W
ithin 30 days following the filing of this application, the City Planner will make a determination of
completeness regarding the application. If deemed complete, the application will be processed.
Conditional Use Application Form 6/8/20
SHMC 17.80.030 APPLICATION REQUIREMENTS
An application for a Conditional Use must meet the submittal requirements and the decision criteria
noted below.
_____ 1.
A site plan drawn to scale showing the dimensions and arrangement of the proposed development
on the subject lot;
_____ 2. Narrative describing the proposed use and the impacts on the neighborhood;
_____ 3. For commercial activities, a proposed plan of business operation;
_____ 4. Off street parking and on-site circulation plans for vehicles, bicycles, and pedestrians;
_____ 5. The location and dimensions of entrances and exits;
_____ 6. A Traffic Impact Study, if required by the City Engineer and the City Planner;
_____ 7. Landscape plans;
_____ 8. A signage plan, if applicable;
_____ 9. Drawings of the exterior for new buildings;
_____10. Photographs of existing buildings if no changes are to be made to the exterior of the building.
S
HMC17.80.040 CONDITIONAL USE CRITERIA.
The criteria that will be used in approving, approving with conditions, or denying an application, or to
enlarge or alter a conditional use, will be based on findings with respect to each of the following
standards and criteria.
_____ A. The request complies with the requirements of the underlying zone or overlay zone, city codes, state
and federal laws.
_____ B. The site size, dimensions, location, topography and access are adequate for the needs of the
proposed use, considering, but not limited to, the following:
_____ 1. Building size
_____ 11. Visibility
_____ 2. Parking
_____ 12. Safety
_____ 3. Traffic
_____ 13. Building, landscaping
_____ 4. Noise
or street features
_____ 5. Vibration
_____ C
. Any negative impacts of the proposed use on adjacent properties and on the public can be
mitigated through application of other code standards, or other reasonable conditions of approval
that include but are not limited to those listed in this chapter.
_____ D. All required public facilities have adequate capacity, as determined by the city, to serve the
proposed use.
_____ E. Home occupations must meet the following standards:
_____ 1. The home occupation shall be secondary to the residential use.
_____ 2. All aspects of the home occupation shall be contained and conducted within a completely
enclosing building.
_____ 3. No materials or mechanical equipment shall be used which are detrimental to residential use of
the dwelling or nearby dwellings because of vibration, noise, dust, smoke, odor, interference with the
electrical grid, radio or television reception or other similar factors.
_____ 4. Vehicles related to the home occupation shall be parked in a manner so as to not block any
driveway or impede the safe flow of traffic
_____ F.
Marijuana facilities must be located in a fixed location. No temporary or mobile sites of any sort are
allowed.
_____ G. Marijuana facilities may not have any drive-up services.
_____ H. Marijuana facilities must be located at least 1,000 feet from the property boundary of any school.
_____ I. Marijuana facilities must be sited on a property so as to be at least 100 feet from the boundary of
any residentially zoned property.
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Application for a Conditional Use Permit (State of Oregon)

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Completed 28 January 2021

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