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MAR2016-00001 VOO City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 Request for Permit Action iy7/j' 1 ;,,„\I: 1, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ® City Staff Check(1)one REFUND OR Name: John Hwang and Dooyoung Kang INVOICE TO: (Business or Individual) Mailing Address: 1815 NW 169th Place,Suite 1040 City/State/Zip: Hillsboro,OR 97006 Phone No.: (503) 724-9648 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ® CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: MAR2016-00001 and MMD2016-00013 Site Address or Parcel#: 6830 SW Bonita Road Project Name: John and Doo's Farm Subdivision Name: N/A Lot#: N/A EXPLANATION: Applicants did not submit completeness information within state-mandated 180-day deadline (ORS 227.178). Therefore, both applications are now void.No refunds. Date: 9/21/16 Signature: -- _ Print Name: Lina Smith Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE LSE ONLY Route to Sys Admin: Date By Route to Records: Date jD 7 /1 B,*:p. Refund Processed: Date Ney- By,r_ Invoice Processed: Date By Permit Canceled: Date /A/Ma) By 4/0----- Parcel Tag Added: Date By im I:\Building\Forms\RegPeitAction_09 1 .doc SUIIODEDI NI0I,I,VDI3I,LONi / DNfHVT\I I II Ph TIGARD City of Tigard September 21, 2016 John Hwang and Dooyoung Kang 21364 NW Miriam Way Hillsboro, OR 97006 Re: Void Applications John and Doo's Farm (MAR2016-00001 and MMD2016-00013) 6830 SW Bonita Road Tigard, OR 97224 Dear Applicant(s), The City of Tigard Planning Division received your Marijuana Facility Permit application for 6830 SW Bonita Road, and a related Minor Modification application for a change of use to agriculture/horticulture on March 24, 2016. Under Oregon Revised Statutes Chapter 227.178, an applicant has up to 180 days from the date a land use application was submitted to provide missing information that was identified by the governing body (for reference, this information was identified in Completeness Letters dated April 27, 2016 and August 18, 2016). The 180-day deadline for both land use applications identified above was September 20, 2016. Since the requested information was not received within the 180-day period, both land use applications are now void. Please feel free to contact me at (503) 718-2438 or LinaCS a.tigard-or.gov if you have any questions. Thank you, C k Lina Smith Assistant Planner 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov Lina Smith From: Lina Smith Sent: Monday, August 29, 2016 10:16 AM To: 'Doo Kang' Cc: john hwang; Hiro Tomomatsu Subject: RE: Review status for 6830 SW Bonita St. Dear John, Doo and Hiro: Thank you for the update. Please keep in mind, the 180-day deadline for both your land use applications is September 20, 2016. If we do not receive documentation of your producer & processor licenses from OLCC by that date, then your applications will be voided, and you'll have to re-apply. Unfortunately, since this is a State-mandated deadline, there's no way for city staff to give an extension or "stop the clock." This 180-day rule is outlined in Oregon Revised Statutes Chapter 227.178, which states an applicant has up to 180 days from the date a land use application was submitted to provide missing information that was identified by the governing body (for reference, this information was identified in the letters I sent on April 27 and August 18). If the applicant has not provided the requested information within the 180-day period, the application is voided. Feel free to contact me if you have any questions. Lina Smith Assistant Planner City of Tigard I Community Development 13125 Hall Blvd.Tigard, OR 97223 E-mail: LinaCS(a,tigard-or.gov From: Doo Kang [mailto:dooyoung.kang©gmail.com] Sent: Saturday, August 20, 2016 12:19 PM To: Lina Smith Cc: john hwang; Hiro Tomomatsu Subject: Re: Review status for 6830 SW Bonita St. Hello Lina, We appreciate the update and follow up on this process. We have applied for the recreational producer license and as of this moment the status is "new". We figured it would be a two stage process; first to get the producer license, but we wanted to get the full blueprint from the architect so we can work on building stage one first. Once this is complete we can move forward with stage 2. We are getting the necessary paperwork and working on applying for the processing license but have not submitted it yet. Status is in "new" and the license number we have received is 1002757E94B. I have attached a screen print of the details on the status from my online OLCC account. Please feel free to reach out to me if you have any questions or need any further information. Thank you, 1 ;' . ' TIGARD City of Tigard August 18, 2016 John Hwang and Dooyoung Kang 21364 NW Miriam Way Hillsboro, OR 97006 Re: Completeness Review John and Doo's Farm (MAR2016-00001 and MMD2016-00013) 6830 SW Bonita Road Tigard, OR 97224 Dear Applicant(s), The City of Tigard Planning Division received your Marijuana Facility Permit application for 6830 SW Bonita Road, and a related Minor Modification application for a change of use to agriculture/horticulture on March 24, 2016. Staff has determined that the following additional information is necessary before either application can be deemed complete: • Documentation of approval from the State of Oregon Recreational Marijuana Program. Please feel free to contact me at (503) 718-2438 or LinaCS@tigard-or.gov if you have any questions. Thank you, Lina Smith Assistant Planner 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov is . I 1111 TIGARD City of Tigard April 27, 2016 John Hwang and Dooyoung Kang 21364 NW Miriam Way Hillsboro, OR 97006 Re: Completeness Review John and Doo's Farm (MAR2016-00001 and MMD2016-00013) 6830 SW Bonita Road Tigard, OR 97224 Dear Applicant(s), The City of Tigard Planning Division received your Marijuana Facility Permit application for 6830 SW Bonita Road, and a related Minor Modification application for a change of use to agriculture/horticulture on March 24, 2016. Staff completed a preliminary review of all submittal materials on April 21, 2016, and determined that the following additional information is necessary before either application can be deemed complete: • A site plan of the property, drawn to a standard architectural or engineering scale. • A floor plan that illustrates the interior layout of the marijuana facility, and provides details such as proposed locations for plants, loading areas, offices, etc. The floor plan should also be drawn to a standard architectural or engineering scale. • Documentation of approval from the State of Oregon Recreational Marijuana Program. Please feel free to contact me at (503) 718-2438 or LinaCS@tigard-or.gov if you have any questions. Thank you, Lina Smith Assistant Planner 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov H RECEIVED City of Tigard MAR 2 4 2016 COMMUNITY DEVELOPMENT DEPARTMENT ' • CITY OE TIGARD TIGARD Marijuana Facility Permit Type ILAA13plielttion PROPOSAL SUMMARY (Brief description) 11 �C t'secik�o�nA.1 �citf Jv�c�.�no` �� y ELEMEN SITTAL p d`DCPS -VIA.ct . We °U..0 ' I-se to bro,. ,—,� [Owner s Signature/Written pollesa‘`-pA ct. c rQ J..t l u'teA_ -P-0,c3,11 uthorization!_ ectn .\ coelfru>Y€ Qke C`e ° -7• J S 0041641 twdij Vejitle Transfer Instrument or Deed .“N[ c.c ��y c1�'<< CAecttP r)1+ k'cOG Mt71��e ALe c IP'Site Plan(3 large plans drawn;o scale Ie( ��. w� -,t1�Lk C1�i.crs -o. .L)C (t (.Kr �o one reduced to 8.5"x111/2") Property address/location(s): -6'F S� 1;o1>;et, Applicant's Statement/Narrative ; tun (3 copies)Address criteria in: 1 r�Cnt C 2Z J llC 18.735.040 Tax map and tax lot #(s): Filing Fee Site size: tilt \I I I ‘-1,1; ONLY Applicant`: To n }-Locunc3 /1 Cbo50v•n4 Kara Case No.: t p2.016- OCCQ Address: "7- 13‘4 N KJ I'►')f ri a rq (it)CI uJ Related Case No.(s): 4)At 2O1b'��?j City/state: 1-I�I Is Igo(a O R Zip: 9 3 OO 6 �0‘ .00 Phone: SO,-.124-ICH Email: john.hwcogq© rna -cor►'1 Application Fee: 911 ' 63$ - doo5o tic • k c r4 a ci 1.cowl A "c accepted: By: / Date: 3I21-1 PROPERTY OWNER/DEED LDER(S) / ❑/ as Applicant Name: fie— S- t"✓ N c) (L `' ` c' Application determined complete: Address: PO /.?v SrG By: Date: City/state: A-U 0 ' ck. Zip: 9 —7d--2 0 IACURPLN\Masters\Land Use Applications 4/22/2015 Contact name: /2ci S Phone number: '50 3 7c)2 7 �7 / 3 •When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner.The owner(s)must sign this application in the space provided on the back of this form or submit a written authorization with this application. APPLICANT'S STATEMENT The applicant's statement must include a summary of the proposed changes. Criteria in either 18.375.040 must be addressed with a detailed response to each criterion. Failure to provide the information needed to process the application would be reason to consider an application incomplete and delay review of the proposal. In addition,the Director must find that the proposed change is in compliance with all applicable requirements of Title 18 of the Tigard Development Code.To complete this review,the Applicant's proposal must include a discussion indicating how the site expansion/change will continue to comply with the maximum setback,building height,parking,and landscaping standards. Other requirements of this title such as clear vision,solid waste storage,non-conforming situations,signs,and tree removal may also be applicable depending on the type and location of the proposed modifications. City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2 APPLICANTS To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the"Required Submittal Elements"box. THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property. • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application,including the policies and criteria,and understands the requirements for approving or denying the application. SIGNATURES of each owner of the subject property required. 3/1/i Applicant' re Print name Date (2o -71-- ?/-2-// Owner's signature Print name Date Owner's signature Print name Date ADDITIONAL OWNER/DEED HOLI)I:It INFORMATION Name: Name: Address: Address: City/state: Zip: City/state: Zip: Signature: Signature: MARIJUANA FACILITY PERMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2 AFTER RECORDING RETURN TO: AND SEND TAX STATEMENT TO: John E.Smets Stems Family Holdings.LLC P.O.Box 560 Aurora,Oregon 97002 STATUTORY BARGAIN AND SALE DEED (Correction Deed) John E. Smets and Marietta D. Smets. Co-Trustees of THE SMETS FA.M Ly TRUST I. UTD 927191,as amended. Grantor,hereby grant, bargain,sell, and convey to STEMS FAMILY HOLDINGS, LLC. an Oregon limited liability company, Grantee, and unto Grantees' successors and assigns,all of the Grantor's right.title and interest in and to that certain real property with the improvements, tenements. hereditaments and appurtenances thereunto belonging appertaining, situated in the County of Washington.State of Oregon.described as follows("Property").- See Exhibit"A"attached hereto and incorporated herein. Tne Property is conveyed "AS IS,"subject to all restrictions and encumbrances of record. The true and actual consideration for this transfer is S-0-;however,the actual consideration consists of or includes other property or value given or promised which constitutes the whole consideration. This deed corrects, supersedes and replaces the following document duly recorded in the Deed Records of Washington County, Oregon so as to correct the legal description: Statutory Bargain and Sale Deed,dated June 22,2008,recorded August 1,2008 as Fee No.2008-067553. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON TRANSFERRING FEE TITLE SHOULD INQUIRE ABOUT THE PERSONS RIGHTS, IF ANY, UNDER CHAPTER 1, OREGON LAWS 2005 (BALLOT MEASURE 37 (2004)). THIS LNSTRUMEI.F DOES NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT LN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INS I RUMEN?. THE PERSONAL ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY APPROVED USES AND TO DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES AS DEFINED IN ORS 30.930 AND TO INQUIRE ABOUT THE RIGHTS OF NEIGHBORING PROPERTY OWNERS, IF ANY. UNDER CHAPTER 1, OREGON LAWS 2005 (BALLOT MEASURE 37(2004)). Dated: January 19 ,2010. TAEMMEETS F y UST I ,LLTZL,' Jolnets,Co-Trustee Marietta D.Smets,Co-Trustee STATE OF OREGON) County of Marion )ss. The foregoing instrument was aclmowledged before me this 19 day of January . 2010 by John E. Smets and Marietta D. Smets, individually and as co- trustees of the Smets Family Trust I.UTD 9/27/91,as amended. �y o aat seu Notar}\\ll Public for Oregon MAUNDA A GUMP ,C, NOTARY PUBLIC-OREGON My Commission Expires: 2/6,112 \'`�7 COmmtsstON NO.42510E A MY COMM SSION EVTRES FEBRUARY 6,2012 Adjusted Tax Lot 28 1 12AD 300&2C0 John E. Stnees,Trustee October 6, 1995 Project No.: 982-01-95 EFAIBIT A PROPERTY DPSCRLDTION A ttaet of land situated in the northeast one quarter of Section 12,Township reship 2 South,Range 1 West, Willamette Meridian,Washington County, Oregon,also being a portion of Lot 4 of Bonita Gardens,recorded in plat book 5,page 11,records of West''gton County,being more particularly described as follows: Beginning at the southwest corner of that tract of land granted to.lohn E.Sm;iu,Trustee of the Smets family tust in that document recorded as doctunent 91-61-228,Washington County deed records; - thence,along the south line of said Lot 4 of said Bona Gardens,South 89°20'4.2"West, I53.50 fees thence, leaving said south fine,North 0°29'12" West,74.60 feet; thence,North 89°20'42"Eat 35.0C feet, thence,North 0°25'12"Wer,8.67 feet: thence,North 89°20'42"East, 11.80 fxt; • thence,North 0°29'12"Wes,242.12 fee:to the south line of that tract pf laid described is the deed recorded in book I013,page 923,Washington Comity deed retort`, thence,along the south line of said book 1013,cage 923,North 79°43'037 East I08.27 feet to the west line of that tact of land deswbed in the deed recorded ars dcct=eat number 91- 61228, Washington aunty deed records; - thence,along tele wen line of said 91-61228,North 0°29'12"West,5.49 feet thence,North 89°20'42"East,20.00 feet thence, South 0°29'12"East,349.00 feet; thence, south 89°20'42'West,20.00 feet to the Point of Beginning of this descri-son. Containing 46,257 square fees 1DCRIEIT A • ALTERATIONS FOR JD FARMS 6830 SW BONITA ROAD TIGARD, OREGON 97224 F07811189111T Sri DATE DESC. ORAWNO UST UVE3IMORE ARCHITECTURE& ARCHTECTURE/ ENON®iNO STRUCTURAL ENCIFEERNO y ESD , PROPEL"PP..:COLL.MICHOLS c wow I.Se 8881.8 STEEL 91.1 7013 r. 1503)99,3003 --- IWO - • CLExT .� ,�,,=4-99.9 R i ecopEOF WORK , ...,a.FOR OPEw w FOR FARM 1 I VICNTY MAP °+ L rowvi I S �RRl�'. =AIL MOO am f I I I I I I I I I I I I I I I I I ae 910„8039.S AE .01 =Mk POPES En 01 WE ft.it PROJECT MWS I m18. .�.m POMP FLOOR Owe A291 UMW•Omu u.m rcLas � rIc O N Z co Z O m K 8 a N Q 4 4 $ $ v� T1.01 GENERAL NOTES: I: m6NL 69...665 MOWN S 05591 mM6x P TME N61AAMMdD COME•.MPLC281 WI*51m. M a MOWN T KULA Mo NR-19 .019.1. 5 1ARNMs MO AMN 1015007 0155,PML 5900.[.IG Ma39BEln 10000101.1.6 1151 UEC.COOLS Abs M.) }.Sm YN 59 106MAR CMS 110) MmW MUAttM - .UTP MIM 51 9M*Ert.,Y'x15 MO 5-]O B8 i1615.TON 6tH �F3 AND TO. 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ST1.01 1 i 9 O O '"° APPLICABLE CODES n-c , 1r< , .0•e 0.111.COY 209 0EW1 M..12aN11 CODE M.a AO MC) 20101/04 CODE 2014 CM l 0,.4s.r,ma(Neste a A1.Elm Ne 11 01141 Onew mmc sman mrc(11/200 a emo ECM NEO 40:20 ma ml Nae.Wemec mcwrc EJ.(11.0w 2012 EC amcam u. 1 P.O. 6014 OW.nusa SFerwn COM(WM a 2000 mE1 . 9060914 CM OF.112 OR s ®, o ° I OCCUPANCY CLASSIFICATION 'IL 71 FayEl.MEL — I areae NE•Vaon Kr < ri1L "X '----7—' 9-t :x A-3', /DATD SC.—SF .0, 2/.6 rw o 10 004 i® u.e1 ./uM 20.9. 1 - 070101 116 1 066101 ° 1011.14a46.. )211211.1121211111 i. 40 SEMI 9 6.6 iA• r1/2,,,A ow onoPSrS m.— feetl) r4. ELLSTaMru9E 1261. r tauw/ no=r) 1111 3.0.301. °^¢p9q • - mm a 431 EC .- _ I I p 1 E.s jp CONSTRUCTION TYPE SF) XE LI ii r '"10 f Fl FESIS11VE EO( IrsI Na I 4114.9121 S" 11 li / rNwamumeuc10000....AS w c)(-0 "a us<—"'� Aa¢.vnt asr EC Enl f E 0.6. . JCS MO• 21 00311 IV v ooFra N.19.8.8.1.0.1 E mumo11111S. 0 xx- aua1111, ROOM 1111 E 00./ SWAM. 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From our understanding we have validated with the City of Tigard that the purpose of its use is allowed in the underlying zone and complies with all applicable requirements of this title. We have ensured that the propose of this development meets all of the following site location restrictions. These restrictions include being outside the MU-CBD zone as well as being outside 1,000 feet of a public or private elementary school, a secondary school,or career school that this being attended by minors. Although we are not a retailer or wholesaler we understand that all sale-oriented retail and wholesale sales uses to the public are subject to being located on a lots or parcel with frontage along Pacific Highway (Oregon Route 99W),being located outside 2,000 feet of another state-licensed retail or wholesale marijuana facility or outside of city limits,and outside 500 feet of a public library or Tigard parks and recreation zone. It is also understood that for non-retail uses and wholesale sales uses not open to the public are to be located outside 500 feet of residential zones,parks and recreation zones,and public libraries. Our hours of commercial operation will be limited to the hours between 10:00am and 8:00pm. We understand that general industrial uses with no on-site activity are exempt from this restriction. The primary entrance to our facility is clearly visible from Pacific Highway(Oregon Route 99W). Our development is located in a permanent building,which do include illuminated downward facing security lighting to parking lots,primary entrances,and exterior walkways. With the purpose of our facility to be a grow/processing facility,there will be no need to have a drive- thru. We are ensuring that all measures are taken so that all marijuana odors and other objectionable odors are undetectable at the property line. We will also ensure that marijuana or marijuana products will not be visible from the exterior of the building or its structure. RECEIVIGARDED City of Tigard MAR 2 4 2016 COMMUNITY DEVELOPMENT DEPARTMENT 1111 CITY�1F r TIGARD Minor Modification Type I App lled/TIERING PROPOSAL SUMMARY (Brief description) REQUIRED SUBMITTAL fe'Crec oho.1 V+'1C.lriJvcxnoA �(`c)�,J/ProC i,NELEMENTS �C� \'� • tie, Q_)Lk)4 I ne �"� d c n J li wner's Signature/Written 0. C U pnp 1 C ck ks,�i° `ct.P \ \1 t c authorization (u Th C cntr 4 k.0b-- Cf u 7`� .f _civ-\ Cefriontki,rj. Title Transfer Instrument or Deed 1 he. --4(cd,Ic,�.. 11 ` L ,�, p `_ ( ^� '�(?tc/�'tt' job 5� T iuC C�7r�1/Poi' �e C fy �5ite Plan (2 large plans drawn to scale GknC\ k IIS %� .4 ke t ,!c'�j b(c c k . c the:S t',,, '',o i h stiliss /and one reduced to 8.52x111/2") W crani Cc.. �� ''�''�"''I Applicant's Statement/Narrative Property address/location(s): 6e 30 S (2 copies)Address criteria in: 1i ijct,rd , n --q--/-e" '.32,2- 18.360.0501i 111 Tax map and tax lot #(s): /)C ng Fee Site size: tOR STAFF 1 SF ONLY Applicant: To ti n {-FWct r, / bvv j0W 1 -G.,,,,,1 Case No.:IAMD2z\6"cco13 Z � Address: I 6 t4 A)60 trn i/' Gk vvk W ti Y � Related Case No.(s):NI000R2016-0O City/state: t1. f I S Gov-of 012 Zip: °C. L ik t D �O Phone:503• i 2-14 /64$Email: /0661 . Hca Gw1c4 g 3 & 9M 4I r+' l•[O1 Application Fee: of 7( - 69�' l 4 3L b vo y a,n n y, K ..i ,, l`� c,yr,,,;/ . (o , Appli ti n ccepted: By: Date: 3(2-1-4 PROPERTY OWNER/DEED HOLDER(S) 0 Same as Applicant Name: S71e y- c: --, . /-) /-e/h., f' Application determined complete: Address: 7-)c-3 /...5"7e-,.-, 5 G CI /, By: Date: City/state: A 1-0 �-) < Zip: 9 7 -2// I:\CURPLN\Masters\land Use Applications Rev 11/24/2014 Contact name: 12v „ I- 1' s e...._,17- Phone Phone number: .e----;Ci 3 70 2 2-7 I 3 a When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner.The owner(s)must sign this application in the space provided on the back of this form or submit a written authorization with this application. APPLICANT'S STATEMENT The applicant's statement must include a summary of the proposed changes. Criteria in either 18.360.050(B)or 18.330.020(B)(2)must be addressed with a detailed response to each criterion. Failure to provide the information needed to process the application would be reason to consider an application incomplete and delay review of the proposal. In addition,the Director must find that the proposed change is in compliance with all applicable requirements of Title 18 of the Tigard Development Code.To complete this review,the Applicant's proposal must include a discussion indicating how the site expansion/change will continue to comply with the maximum setback,building height,parking,and landscaping standards. Other requirements of this title such as clear vision,solid waste storage,non-conforming situations, signs,and tree removal may also be applicable depending on the type and location of the proposed modifications. City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2 APPLICANTS To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTALELEMENTS as described on the front of this application in the"Required Submittal Elements"box. THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any deed restrictions tha may be_attached to or impossed upon the subject property. • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan,attachments, and exhibits transmitted herewith,are true;and the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application,including the policies and criteria,and understands the requirements for approving or denying the application. SIGNATURES of each owner of the subject property required. /2_ / Applicant's signature / Print name Date 2 17 -7 3 /7G wner's signature Print name Date Owner's signature Print name Date ADDITIONAL OWNER/DEED HOLDER INFORMATION Name: Name: Address: Address: City/state: Zip: City/state: Zip: Signature: Signature: MINOR MODIFICATION APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2 AF LER RECORDING RETURN TO: AND SEND TAX STATIIKENT TO: John E.Smets Stems Family Holdings,LLC P.O.Box 560 Aurora,Oregon 97002 STATUTORY BARGAIN AND SALE DEED (Correction Deed) John E. Smets and Marietta D. Smets; Co-Trustees of THE SMETS FAMILY TRUST I. UTD 9/27/91,as amended. Grantor,hereby grant, bargain, sell, and convey to STEMS FAMILY HOLDINGS, LLC, an Oregon limited liability company, Grantee. and unto Grantees' successors and assigns,all of the Grantor's right,title and interest in and to that certain real property with the improvements, tenements. hereditaments and appurtenances thereunto belonging appertaining, situated in the County of Washington.State of Oregon,described as follows("Property"): See Exhibit"A"attached hereto and incorporated herein. The Property is conveyed "AS IS,"subject to all restrictions and encumbrances of record. The true and actual consideration for this transfer is$-0-;however,the actual consideration consists of or includes other property or value given or promised which constitutes the whole consideration. This deed corrects, supersedes and replaces the following document duly recorded in the Deed Records of Washington County, Oregon so as to correct the legal description: Statutory Bargain and Sale Deed,dated June 22,2008;recorded August 1,2008 as Fee No.2008-067553. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON TRA.tSFERRNG FEE TITLE SHOULD INQUIRE ABOUT THE PERSON"S RIGHTS, IF ANY, UNDER CHAPTER 1, OREGON LAWS 2005 (BALLOT MEASURE 37 (2004)). THIS INSTRUMENT DOES NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSONAL ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY APPROVED USES AND TO DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES AS DEFINED IN ORS 30.930 AND TO INQUIRE ABOUT THE RIGHTS OF NEIGHBORING PROPERTY OWNERS, IF ANY. UNDER CHAPTER 1, OREGON LAWS 2005 (BALLOT MEASURE 37(2004)). Dated: January 19 ,2010. TTSMETS F Y UST I �L 1 By:,. ', By: �LZ i'�/�/a✓ Yr Zr- Jo C'o-Trustee Marietta D.Smets,Co-TrusteeC ' STATE OF OREGON) County of Marion )ss. The foregoing instrument was acknowledged before me this 19 day of January , 2010 by John E. Smets and Marietta D. Smets. individually and as co- trustees of the Smets Family Trust I,UTD 9/27/91,as amended. r ,�+ ) OFFICIAL SEAL MAUNDA A GUMP Nolan Public for Oregon NOTARY PUBLIC-OREGON My Commission Expires: 2/6/12 COMA11S pinSFEBN0.42510E IlYCO:.IMISS�ONNIRcDRIUlRY6,2CL'- Adjusted Tax Lot 22 1 12.AD 300&2C0 John E. Sant,Trustee October 6, 1995 Project No.:982-01-95 EXHIBIT A PROPERTY DESCRLo1TON A tact of land situated in the northeast one quarter of Season 12,Township 2 South,Range 1 West, Willamette Meridian,Wachinron Cotrry, Oregon,also being a portion of Lot 4 of Bonita Gardens,recorded in plat book 5,page 11,records of Wa°h;'ton County,being more pz-ticularly desotced as follows. Beginning at the soutniims:corner of that tract of land granted to.Johr.E.Stan,Trustee of the Smets farui:y truss it that dccamen:recorded as doctnnent 91-61-228,Washington Coity deed records; thence,along the south line of said Lot 4 of said Bonita Gardens,South 89°20'42"West, 153.50 fee; thence,leaving said south line,North 0°29'12° West,74.60 fear, thence,North 89°20'42"Eau,35.CC feet; thence,North 0°29'12"We;8.67 feet; thence,North 89°20'42"East, 11.8C feet; thence,North 0°29'12"Wes,242.12 feet to the south line of _at tact pf Iazd described in the deed recorded in book 1013,page 923,Washington Corny deed redone thence.,along the south line of said book I013,page 923,North 79°43'037 East, I08.27 feet to the west line of that tract of land described in the deed recorded as document:umber 91- 61228, Washington County deed records; thence,along the west line of said 91-61228,North 0°29'12"West,5.49 feet; — thence,North 89°20'42"East,20.00 feet; thence, South 0°7.9'12"East,349.00 feet; thence, South 89°20'42 West,20.00 Suet to the Point of Be iaajag of this dosed-tion, Containing 46,257 square fee:. EXHIBIT A ZS�17C '1 1191 s 11 I,D9°6 ALTERATIONS FOR JD FARMS 6830 SW BONITA ROAD - TIGARD, OREGON 97224 /DATE ESC. DRAWNO LST UVERMORE ARCHITECTURE it ARCHTECTIIE/ ENOWEERMO STRUCTURAL ENONEERNG y<e0Dti4r, PROJECT.v/1c1n:caum bun! ,. I I MOP o,p2.> 1 a---- Mt «3 . �NAN • !' CLENT fA - DUMAN ISCOPE OF WORK i ; I MANE OUT NUMBER ISHEET NNE l� 4. A MAP Imew A!11 ,0a0 pma'err 1 I I I I III I [ I I I I I L I I I .ioe"47211!.».. SITE 1101 5112.: GENERAL NOTES: EITION 1: Tui..Ea.00ne COMDR.9 MOW. OMIT 6 IxEwult AFB w6D,.E PT019.nOR .._-. �.. NI NAR .1 E A5 REIT T BATE v194AT1ON.ON AND TETT swORDERS, ITA5190 u CODE.ra ACTS..REaCITENT.moo LCO 0100 NO s..M RADE,.) w 2...vs (room. TO YAP.BATT AT CERT. ME,.TART - TIMER n 012 AT P- $9/OREES TO COOFS SPECTATORS 2110 SALOUM 940E TET AT ME TROT To R TE UTE.03610E AY[MUEM, SGT/OR BETON T SUM aOTT STM060 I VTR RLR/CEEXT RIM PET M 013 TIT 441(moPAR00rc M RWE STEM RTMJO DE]S.MO.TORT SNOW TT CONTACTOR_ ro�ITT wnmEs).Bas MITT RT R MEET.9 Tr TAT mos.ROR WILED ON 114 ATTN.AT ECORDS,PER mol SErnw 5.0 R 318,ARE TINTED N MD TROT M TW TKEEERNOTES RS 19. . TOPT AT E COT O O TIOF TT BUTT AT ATE NOT M.wPrtCT/F1laaW Cf ANS PETTIOR STET Or CONSTRUCTION OR ORDEMC OF MTER.S. 215211.*aWv]•0.215 w YxUS 1 a� CARR.TONIOR5 cR. 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There will be no change in the type and location of access ways and parking areas where off site traffic would be affected. There will be no increase in vehicular traffic to and from the site and the increase can be expected to exceed 100 vehicles per day. There will be no increase in the floor area proposed for a nonresidential use by more than 10%excluding expansions under 5000 square feet. There will be no reduction in the area reserved for common open space and/or usable open space which reduces the open space area below the minimum required by this code or reduces the open space area by more than 10%. There will be no reduction of project amenities below the minimum established by this code or by more than 10%where specified in the site plan. There will be no modification to the conditions imposed at the time of site development review approval which are not the subject of paragraphs 1 through 10 of this subsection. Fc1-1) 4 4 :!44 Ec Q c8 Gpa tro` CITY/COUNTY USE ONLY ' t °p OREGON LIQUOR CONTROL COMMISSION REQUEST Date del.vered by horse apps cant �'I..c.,s Land Use Compatibility Statement 'EC1I )1,-., 1 4�1 cxW P What is a land use compatibility statement(LUCS)?The LUCS is a form used by a state agency ' t and focal government to determine whether a land use proposal is consistent with local govern MAY U 2016 CARD ! rnent',comprehensive plan and land use regulations LANNlN -;ENGINEERINC: , Why is a LUCS required?OLCC and other state agencies with permitting or approval activities that L../// S/_ affect land use are required by Oregon law to be consistent with local comprehensive plans and to tninat. have a process for determining consistency.Section 34(4)(a)of 2015 Oregon Laws, Chapter 614, rj t requires OLCC to request and obtain the LUCS and have a positive LUCS prior to issuing a license. 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 1—To be Completed by Applicant *Sections marked with on asterisk should be verified with the focal planning deportment prior to submitting this form." •-- --.• Applicant Name: 17otxjo.An 4n5, )°,"\ i-kw ••N Phone: COI - 6-4S — I *{3 Mailing Address: Z l SJ h14 N Ia WI' r i c4'A l V)4j Rm/Ste: City: WI\Is 62(.0, State: D v_ ZIP: 5.7 2O Site plan of the subject property and proposed development attached?(required) Proposed / 0' ' O 5(4? fort recti f_ Rm/Ste: Premises Address: tD `--' City: �:�w� County: t/J�S�:n `J ZIP: Cl-4.Z zy 2 Rc)ooZOo Range/ i �V Ct-.k{(�LAb9- Tax Lot k': 2� \ Section*: Lahtude .. Z5 Map*: 1$ I (�, ND122. 1` 5-011 Township*: � 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 Wholesaler Processor Retailer Laboratory Research Certificate List endorse- Note indoor or, mems below tdoor bel Details of proposed use(note any attachments): _�).' ""No`' t t oG>l\ .( e e- 4r16 ?roCe SS o<- rel C i t 1 Section 2—To be Completed by Local Jurisdiction Site Location: I Inside city limits ❑ Inside UGB ❑ Outside UGB Name ofJurisdiction: City of Tigard Property Zoning of Industrial Park(I-P) 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: The applicant proposes a new marijuana facility (non-retail) at 6830 SW Bonita Road, Tigard, OR 97224. Approval for a marijuana facility at this location is contingent upon compliance with the development standards outlined in Chapter 18.735 Marijuana Facilities of the Tigard Community Development Code (TDC), and the issuance of a Type I Marijuana Facility Permit. Name of Reviewing Local Official(print): Lina Smith Title: Assistant Planner Date: May 23, 2016 Email: LinaCS@tigard-or.gov Phone: (503) 718-2438 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