HomeMy WebLinkAboutCoastal Delivery SLO March 2022 Application -CITY OF SAN LUIS OBISPO
Community Development Department
919 Palm Street, San Luis Obispo, CA 93401
805.781.7170
Commercial Cannabis Business Operator Permit Application 7/1/2021
A. Business Information
Business Name:
Property Address:
Assessor Parcel Number: Zoning Designation:
B. Business Type (Check all that apply)
Cultivation - Specialty (Up to 5,000
Sq. Ft. Max)
Cultivation - Small (5,001 - 10,000
Sq. Ft. Max)
Cultivation – Nursery (Up to 10,000
Sq. Ft. Max)
Manufacture (Non-volatile Raw
Product Extraction)
Manufacture (Cannabis Infusion) Manufacture (Itinerant – No
permanent facility)
Manufacturer (Research and
Development) Distributor Testing Laboratory
Transporter
Microbusiness (No more than 50%
gross receipts from cultivation,
distribution and manufacturing)
Microbusiness (More than 50% gross
receipts from cultivation, distribution
and manufacturing)
Retailer Non-Storefront (Adult-use) Retailer Non-Storefront (Medical) Retail Non-Storefront (Adult-use and
Medical)
C.Definitions
Applicant - The entity petitioning for the Cannabis Business Operator Permit.
Principal(s) - The individual members of the applicant team.
Primary Principal - An individual who has a 10% or greater ownership stake of the applicant business, which
includes partners, officers, directors, and stockholders of every corporation, limited liability company, or general
limited partnership that owns at least 10% of the stock, capital, profits, voting rights, or membership interest of the
commercial cannabis business or that is one of the partners in the commercial cannabis business; the managers of
the commercial cannabis business.
Operator - An applicant that has been licensed and conducts or conducted active cannabis operations.
Majority - A greater number; more than half. An equal number does not constitute a majority.
D. Applicant Information
Name of Primary Responsible Party Completing the Application:
Title:
If applicant is a not for profit, corporation, partnership or other business entity, please identify:
Name of Business Entity: Coastal Holding Company LLC
Limited Liability Company
10/24/2018
1550 Leigh Avenue, San Jose, CA 95125
Coastal Delivery SLO, LLC
747 Woodbridge Street, San Luis Obispo, CA 93401
004-921-007 Service Commercial (C-S)
DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
Email Address:
Preferred method of contact (check one) Mail Phone Email
E. Additional Responsible Party Information
Name:
Title:
1550 Leigh Avenue, San Jose, CA 95125
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See attached.
Please refer to the attached document for related license information
California Coastal Investments, LLC
2436 Broad Street, San Luis Obispo, CA 93401
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DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
E.Additional Responsible Party Information
Name: Michael Batesole
Title: Officer
Mailing Address: 1550 Leigh Avenue, San Jose, CA 95125
Preferred Method of Contact: Email
Name: Judith Schvimmer
Title: Secretary
Mailing Address: 1550 Leigh Avenue, San Jose, CA 95125
Preferred Method of Contact: Email
DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
G. Related License Information
Entity Location License Type License #Exp. Date
Caliva CADECC1, LLC Culver City, Green
Valley Circle
Delivery C9-0000034-LIC 05/22/2022
Caliva CAMISJ2, Inc.San Jose, Pullman
Way
Microbusiness C12-0000216-LIC 7/23/2022
Kase's Journey, INC Ceres, Farm Supply
Road
Retail C10-0000175-LIC 6/11/2022
Calma Weho, LLC West Hollywood, La
Brea
Retail C10-0000338-LIC 6/27/2022
Fluid South, LLC Costa Mesa, Cadillac
Avenue
Distribution C11-0000826-LIC 7/16/2022
Fluid South, LLC Costa Mesa, Cadillac
Avenue
Manufacturer
Type-N)
CDPH-10003729 7/19/2022
Martian Delivery, LLC Sacramento, Elder
Creek Road
Delivery C9-0000133-LIC 6/25/2022
NC3 Systems San Jose, South 7th
Street
Manufacturer
Type-6)
CDPH-10002244 4/2/2022
NC3 Systems San Jose, South 7th
Street
Processor CCL19-0000316 5/13/2022
NC3 Systems San Jose, South 7th
Street
Medium Indoor
Cultivation
CCL18-0000047 5/24/2022
NC3 Systems San Jose, South 7th
Street
Nursery CCL18-0000038 5/24/2022
NC3 Systems San Jose, South 7th
Street
Small Indoor
Cultivation
CCL18-0000036 5/24/2022
NC3 Systems San Jose, South 7th
Street
Small Indoor
Cultivation
CCL18-0000037 5/24/2022
NC3 Systems San Jose, South 7th
Street
Delivery C9-0000135-LIC 6/25/2022
NC3 Systems San Jose, South 7th
Street
Distribution C11-0000819-LIC 7/15/2022
NC3 Systems San Jose, South 7th
Street
Retail C10-0000441-LIC 7/15/2022
NC3 Systems Bellflower, Artesia
Boulevard
Retail + Delivery C10-0000627-LIC 10/7/2022
DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
G. Related License Information
NC4 Systems, Inc.Brisbane, South Hill
Drive
Manufacturer
Type-6)
CDPH-10002455 4/15/2022
NC4 Systems, Inc.Brisbane, South Hill
Drive
Delivery C9-0000235-LIC 7/28/2022
NC4 Systems, Inc.Brisbane, South Hill
Drive
Distribution C11-0000922-LIC 7/28/2022
NC5 Systems, Inc.Chula Vista, Industrial
Boulevard
Delivery C9-0000405-LIC 4/1/2022
NC6 Systems, Inc.Hanford, N. Douty
Street
Retail + Delivery C10-0000840-LIC 7/12/2022
Sisu Extractions, LLC Arcata, West End
Road
Manufacturer
Type-6)
CDPH-10001876 1/12/2023
Sisu Extractions, LLC Eureka, 3rd Street Manufacturer
Type-6)
CDPH-10003338 5/31/2022
Sisu Extractions, LLC Eureka, 3rd Street Distribution C11-0000379-LIC 6/13/2022
Sisu Extractions, LLC Eureka, 3rd Street Processor C11-0000379-LIC 6/13/2022
Sisu Extractions, LLC Eureka, West 3rd
Street
Processor CCL20-0002140 12/17/2022
Sturdivant Ventures, LLC Santa Rosa, Corporate
Center Parkway
Manufacturer
Type-N)
CDPH-10003210 5/16/2022
Sturdivant Ventures, LLC Santa Rosa, Corporate
Center Parkway
Distribution C11-0000753-LIC 7/9/2022
Entity Location License Type License #Exp. Date
DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
a
R Required Submissions (Please check the box for each attachment)
Please submit the following documents as they pertain to your business type in bound form with a copy of this
application in the front, a table of contents, and dividers for each section. Please provide one hard copy and a
digital copy in a readable PDF form.
Please keep all explanations and descriptions brief; concise information, spreadsheets, and bullet pointed
formation is encouraged. The total submittal shall not exceed more than 75 pages. For any items that do not
apply, please provide a brief explanation as to why they do not apply.
Copy of the Application
Table of Contents
Base the table of contents in the order of the Evaluation Criteria for your business type. The Criteria can be found
online here and a Merit Criteria Example Sheet can be found here.
Additional information below that is not directly linked to the Evaluation Criteria shall also be listed in the table
of contents. (This is a list of supporting documentation that can be used to address the items listed in the
Evaluation Criteria).
Business Operations Plan
Business Plan: A plan describing how the commercial cannabis business will operate in accordance with City
code, state law, and other applicable regulations. The business plan must include plans for handling cash and
transporting cannabis and cannabis products to and from the site.
Products and Services: A list/description of the general products and services the business will provide
recommend that products/services be listed within a spreadsheet format).
Community Relations Plan: A plan describing who is designated as being responsible for outreach and
communication with the surrounding community, including the neighborhood and businesses, and how the
designee can be contacted.
State Licenses: Copies of the state licenses relating to the commercial cannabis business licenses, the applicant
holds (when available).
Proof of Corporation Status: Provide proof of valid corporation status and doing business as (DBA), which
includes the identification of an agent of service.
Tax Compliance: A current copy of the applicant’s city business operations tax certificate, state sales tax seller’s
permit, and the applicant’s most recent year financial statement and tax return (for first time applicants, the
business operations tax account will be set up in-house after the application has been submitted).
Insurance: The applicant’s certificate of commercial general liability insurance and endorsements and
certificates of all other insurance related to the operation of the cannabis business.
Financial Capacity: Financial information such as bank balances, available loans and other sources of funding
the enterprise.
Budget: A copy of the applicant’s most recent annual budget for operations (if available).
Community Benefit: The applicant shall demonstrate to the satisfaction of the City of its intent to local hiring
and community support (maximum 2 pages).
Education Plan: A plan describing the type of cannabis education and prevention efforts that will be provided by
the business to the community (maximum 2 pages).
Security Plan: A detailed security plan outlining the measures that will be taken to ensure the safety of persons
and property on the business site. The security plan must be prepared by a qualified professional.
Lighting Plan: A detailed lighting plan showing existing and proposed exterior and interior lights that will provide
adequate security lighting for the business site (maximum 2 pages).
Site and Floor Plans: A dimensioned site plan of the business site, including all buildings, structures, driveways,
parking lots, landscape areas and boundaries. Also provide dimensioned floor plans for each level of each building
that makes up the business site, including the entrances, exits, walls and cultivation areas, if applicable. The plans
shall also include the following information about the site: current zoning, parking requirements, consistency with
development standards for the zone, if new development planned for the site, and any other site development
information (maximum 5 pages).
Water Efficiency Plan: The applicant shall demonstrate to the satisfaction of the City that sufficient water supply
exists for the use (maximum 1 page).
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DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
Odor Control Plan: A detailed plan describing how the applicant will prevent all odors generated from the
cultivation, manufacturing and storage of cannabis from escaping from the buildings on the business site, such
that the odor cannot be detected by a reasonable person of normal sensitivity outside the buildings (maximum 2
pages).
Hazardous Materials Plan: To the extent that the applicant intends to use any hazardous materials in its
operations, the applicant shall provide a hazardous materials management plan that complies with all federal,
state and local requirements for management of such substances (maximum 2 pages).
Energy Efficiency Plan: Documentation that the applicant has identified the best way, including carbon free
power sources to provide reliable and efficient energy solutions for their business (maximum 2 pages).
H.
I, the applicant, provide authorization and consent for the City Manager or his/her designee to seek verification of
the information contained on this application.
I.Indemnification
I, the applicant, agree to the fullest extent permitted by law, any actions taken by a public officer or employee
under the City of San Luis Obispo regulations for Commercial Cannabis Businesses, shall not become a personal liability
of any public officer or employee of the City. To the maximum extent permitted by law, the permittee shall defend
with counsel acceptable to the City), indemnify and hold harmless the City of San Luis Obis po, the San Luis Obispo
City Council, and its respective officials, officers, employees, representatives, agents and volunteers from any liability,
damages, actions, claims, demands, litigations, loss (direct or indirect), causes of action, proceedings, or judgments
including legal costs, attorneys’ fees, expert witness or consultant fees, City Attorney or staff time, expenses or costs)
against the City to attach, set aside, void or annul, any cannabis-related approvals and actions and strictly comply
with the conditions under which such permit is granted, in any. The City may elect, in its sole discretion, to participate
in the defense of said action and the permittee shall reimburse the City for its reasonable legal costs and attorneys’
fees.
J. Nonrefundable Filing Fee
I, the applicant, understand and accept that the nonrefundable filling fee must be submitted with the competed
Commercial Cannabis Business Operators Permit Application and will be retained by the City regardless of the out-
come of the application review.
K.Background – Request for Live Scan Services
I, the applicant, understand that a completed and processed Request for Live Scan Service, State ofCaliforniaformBCIA8016, as determined by the City of San Luis Obispo, by a duly authorized business must beprovidedfortheapplicantandallinterestedparties. All applicable fees and charges are the responsibility of the applicants
and interested parties.
L.Disqualification
Application was received late.
Application is incomplete or inaccurate.
Facility does not meet City business licensing standards.
More than one application is received for the same cannabis business type on one property (stacking of
applications).
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DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
M.Applica nt’s Certific ation
I agree to abide by and conform to the conditions of the permit and all provisions of the San Luis Obispo Municipal
Code pertaining to the establishment and operation of the commercial cannabis business. I acknowledge that the
approval of the Commercial Cannabis Business Operators Permit shall, in no way, permit any activity contrary to the
San Luis Obispo Municipal Code, or any activity which is in violation of any applicable law.
I certify under penalty of perjury under the laws of the State of California, that I have personal knowledge of the
information contained in this application, and that the information contained herein is true and correct.
Signature: Date:
The information contained on this document is subject to disclosure under the Public Records Act.
Applicants providing false or misleading information in the permitting process will result in rejection of the
application and/or nullification or revocation of any issued permit. All commercial cannabis permits must be
approved by the City Council. The City may attach conditions to the permit. A commercial cannabis permit may
be denied if any of the following findings are made:
i) The application does not meet all requirements of the commercial cannabis ordinance; or
ii) Approval would very likely result in harm to public safety, health, or welfare; or
iii)Potential negative impacts of the use cannot be mitigated with conditions or through the
ordinance requirements.
Applicants will be notified regarding application completeness.
DocuSign Envelope ID: 214ABBB0-FB68-4705-AF32-1EB5CD8D7D47
Mar-01-2022 | 12:16 PST
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