HomeMy WebLinkAboutIntro Only - Native Bliss - Hollister SLO, LLCl I
RETAILER (Including Delivery) Commercial
Cannabis Business Operators Permit
Application
City of San Luis Ob ispo
2
APPLICATION ••••• , • , , , , •• , • , , , , ••• , • , , , , , , , , •••• , •••••••• , , , •• , , • , •• , , , , •• , • , , •• , ••• , , , , , , , , , , , , , , , , • , , , ,,,,,,8
Property Owner's Consent ............................................................................. 9
Articles of Incorporation .............................................................................. 16
City Commercial Cannabis Permit Required ........................................................ 17
Commercial Cannabis Operator Permit and State License(s) Required ........................ 17
Grounds for Automatic Disqualification ............................................................. 17
Business Plan ............................................................................................ 18
Operational Timetable ................................................................................. 19
Parking Plan .............................................................................................. 20
Company Principals ...................................................................................... 21
Kirk Azevedo .............................................................................................. 22
Request for Live Scan .................................................................................... 25
Marc Bohbot .............................................................................................. 27
Request for Live Scan .................................................................................... 35
local Compliance ........................................................................................ 37
Compliance with Laws ................................................................................ 37
Commercial Cannabis Operator Permit and State License( s) Required ............... 3 7
Commercial Cannabis Business Permit ......................................................... 37
Limitations on City's Liability ...................................................................... 37
Inspection and Enforcement ............................................ , ........................... 38
Indemnification, Insurance, Reimbursement, Consent ...................................... 38
Designated Mand A Commercial Cannabis Activity .......................................... 39
Daily Operations Plan ................................................................................ 39
No Packaging & Labeling ............................................................................. 39
City Commercial Cannabis Permit Required ................................................. ..40
Commercial Cannabis Operator Permit and State License(s) Required .............. ..40
Hours of Operation ..................................................................................... 40
Products and Services ................................................................................ .40
Retail Store Customer Care Plan ................................................................... 41
Retail Store Agents ...................................................................................... 42
Security Controls ....................................................................................... 42
Customer Care Procedures ............................................................................ 43
Non-Storefront (Delivery) Operations Plan ..................................................... .47
Delivery Vehicle Requirements ...................................................................... .4 7
Cannabis Goods Carried During Delivery ........................................................ .48
Cannabis Consumption During Delivery .......................................................... 49
Delivery Request Receipt .............................................................................. 49
Delivery Route ............•................................................................................ SO
Signage Plan .............................................................................................. SO
Dual Permits Posted and Visible .................................................................... 50
Production of Originals for Inspection ............................................................. SO
Staffing Plan ................................................................................................ SO
Hiring and Buying Locally .............................................................................. S1
Social Equity ................................................................................................ 51
Labor Peace Agreement ................................................................................. S 1
Roles and Responsibilities .............................................................................. S 1
Staff Acquisition Process ................................................................................ S4
Disqualifying Items and Items of Consideration ................................................. SS
Discriminatory Practices ................................................................................ S6
Interview Process ......................................................................................... S6
Employee Registry ........................................................................................ S7
Employee Badges ........................................................................................... S7
New Employee Onboarding ............................................................................. S8
Employee Training ........................................................................................ S8
New Hire Training ......................................................................................... S9
Employee Safety And Training Plan .................................................................. S9
Training ...................................................................................................... S 9
Sanitation ..................................................................................................... 60
Safety Plan and Protocols ................................................................................ 6S
Waste Management Plan .................................................................................. 66
Non-Cannabis Solid Waste ............................................................................... 66
Non-Cannabis Liquid Waste ............................................................................. 66
Cannabis Waste .............................................................................................. 66
Quality Assurance Plan ................................................................................... 6 7
Quality Assurance Director .............................................................................. 68
Receiving Products .......................................................................................... 68
Evaluation of Received Products ....................................................................... 69
Accepted Products ........................................................................................... 70
Rejected Products ............................................................................................ 70
Waste Storage and Quarantine ........................................................................... 70
Inventory Control Plan ......................................................................................... 70
Storage of Inventory ............................................................................................. 71
Significant Discrepancy in Inventory ........................................................................ 71
Track and Trace System ........................................................................................ 70
Recordkeeping Plan ............................................................................................. 7 4
Record Retention .................................................................................................. 75
Community Benefits & Relations Plan ...................................................................... 76
Ongoing Commitment to Medical Cannabis ............................................................... 76
Volunteerism and Charitable Donations ................................................................ 76
Non-Profit Partnerships ...................................................................................... 77
Veteran Support Initiatives .................................................................................. 77
Families and K-12 Schools ................................................................................... 77
Nuisance Mitigation .............................................................................................. 78
Consumption or Use Prohibited On-Site ................................................................... 78
Public/Cannabis Event Prohibited ......................................................................... 79
Concurrent Alcohol or Tobacco Sales or Service Prohibited ........................................ 79
Minors .............................................................................................................. 79
Prohibited Sale of Cannabis Products or Cannabis Accessories by Vending Machine ....... 79
Consumption or Use Prohibited On-Site .................................................................. 79
Public/Cannabis Event Prohibited .......................................................................... 80
Concurrent Alcohol or Tobacco Sales or Service Prohibited ........................................ 80
Minors .............................................................................................................. 80
Prohibited Sale of Cannabis Products or Cannabis Accessories by Vending Machine ...... 80
State Licenses (Kirk's Certificate of Cannabis Cultivation) ......................................... 82
Tax Compliance .................................................................................................. 83
Insurance ........................................................................................................... 88
Budget .............................................................................................................. 98
Financial Capacity .............................................................................................. 103
Commercial Cannabis Development Standards ....................................................... 110
COMMUNITY EDUCATION PLAN ........................................................................................ 111
Community Information Sessions ........................................................................... 111
Diversion Prevention ............................................................................................ 111
Diversion Prevention Training ................................................................................ 111
Electronic Infrastructure Diversion Tools ................................................................... 111
Lawful Transactions ................................................................................................ 111
Promoting Responsible Use ...................................................................................... 114
Advertising and Marketing ....................................................................................... 114
Restricting Advertising to Adults ............................................................................... 115
SECURITY PLAN ............................................................................................................. 116
Security Consultant: Roderick Ferguson, BTR Unlimited Inc.
Security and Public Safety Measures
Personnel
Video Surveillance
Alarm Systems
Sign age
Additional Security Surveillance Equipment
On Site Security
Ingress/Egress
Cash Management
Securing Limited Access Areas
Product Security: Preventing Theft and Diversion
Opening and Closing Procedures
Hours ofOperation
Personnel Security Policies
Security Agent Response Policies
Emergency Scenario Response Policies
Inspections
LIGHTING PLAN .............................................................................................................. 134
Outdoor Lighting Policy ....................................................................................... 134
Purpose
Scope
Procedure
SITE AND FLOOR PLANS ............................................................................................... 136
Lease Agreement ................................................................................................ 150
Right to Occupy and to Use Property for Commercial Cannabis Activity:
WATER EFFICIENCY PLAN ............................................................................................. 156
ODOR CONTROL PLAN .................................................................................................. 158
HAZARDOUS MATERIALS PLAN ........................................................................................ 159
Hazard Communication Policy ............................................................................... 160
Container Labeling ............................................................................................... 160
Material Safety Data Sheets .................................................................................... 160
Hazardous Chemicals List ...................................................................................... 160
Hazardous Non-Routine Tasks ............................................................................... 160
ENERGY EFFICIENCY PLAN .............................................................................................. 162
Social Equitv Applicants
Domenique Goode .............................................................................................. 165
Miguel Garza ....................................................................................................... 177
Alan Martinez ...................................................................................................... 194
CITY OF SAN LUIS OBISPO
Community Development Department
919 Palm Street, San Luis Obispo, CA 93401
805.781.7170
Commercial Cannabis Business Operators Permit Application
A. Business Information
Business Name: HOLLISTER SLO, LLC.
Property Address: 207 HIGUERA SAN LUIS OBISPO, CA 93401
Assessor Parcel Number: 003-721-039 Zoning Designation: C-S
D Cultivation -Specialty (Up to 5,000
Sq. Ft. Max
D Manufacture (Non-volatile Raw
Product Extraction
D Manufacturer (Research and
Develo ment
liJ Retailer Storefront (Adult-use)
l!il Retailer Non-storefront (Adult-use)
D Transporter
GR -Gross Receipts
C. Definitions
D Cultivation -Small (5,001 -10,000
Sq. Ft. Max
D Manufacture (Cannabis Infusion)
D Distributor
gJ Retailer Storefront (Medical)
Iii Retail Non-Storefront (Medical)
D Mlcrobuslness (No more than 50%
GR* from cultivation, distribution
and manufacturin
Applicant -The entity petitioning for the Cannabis Business Operator Permit.
Principal(s) -The individual members of the applicant team.
D Cultivation -Nursery (Up to 10,000
s . Ft. Max)
D Manufacture (Itinerant -No
ermanent facili
D Testing Laboratory
l!il Retailer Storefront (Adult-use and
Medical
Iii Retail Non-storefront (Adult-use and
Medical
D Mlcrobusiness (More than 50% GR*
from cultlvatton, distribution and
manufacturln
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 m<ijority.
D. Applicant Information
Name of Primary Responsible Party Completing the Application: DR. KIRK J. AZAVEDO
Tltle: PRESIDENT DOB:
Social Security No:
If applicant is a not for profi~ corporation, partnership or other business entity, please identify:
Name of Business Entity: HOLLISTER SLO, LLC.
Type of Ownership: MEMBER MANAGED
Federal Tax Id: Start Date: 01/10/2019
Malling Address: 113 NORTH SAN VICENTE BEVERYL Y HILLS, CA
8
Primary Phone No: Alt. Phone No:
Email Address:
Preferred method of contact (check one) 0Mail 0 Phone [j] Email
E. Additional Responsible Parfy Information
Name: MARC BOHBOT
1itle: VICE PRESDIENT DOB:
Social Security No:
Malling Address:
Primary Phone No: N/ A Alt. Phone No:
Email Address:
Preferred method of contact (check one) 0Mail 0 Phone ~Email
Please attach additional sheets ifthere are more than 2 Responsible Parties.
F. Information on Property Owner or landlord
Name: 207 HIGUERA, LLC
Mailing Address: 1304 BROAD STREET SAN LUIS OBISPO, CA 93401
Primary Phone No: Alt. Phone No:
Email Address:
Preferred method of contact (check one) 0Mail 0 Phone Iii Email
If the applicant is not the legal owner of the property, the application must be accompanied by a notarized Owner's
Statement ofConsent to operate a commercial cannabis business on the property.
G. Related License Information
The applicant and/or responsible parties has been associated with a commercial cannabis business permit in the
past 10 years.
Iii Yes 0 No (If yes, please provide the following_infQrffia,,,t~lo,.,n,_ _____________ _
Name: DR. KIRI< J. AZAVEDO
City or County: CAMBRIA Start Date: 12/30/2015 End Date: N/A ~:.
LC-'--"-'-'-'~-"'--"'--=-'-'"-'----------~-'-'---'-''-'--
Busi ness Name: RIPARIAN BIOSUPPORT Business Type: MEDICAL MARIJUANA COLLECTIVE
Please attach additional sheets ifnecessary.
9
Required Submissions (Please check the box for each attachment) - ---------~-
Please attach all applicable documents listed below as part of your application as they pertain to your business type.
For any items that do not apply to your business type, please provide a brief explanation as to why they do not
apply.
Iii 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.
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
deslgnee can be contacted.
State Licenses: Coples of the state licenses relating to the commercial cannabis business licenses, the applicant
holds (when available).
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's financial statement and tax returns (for first time applicants, the
business operations tax account will be set up in-house alter 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.
Budget: A copy of the applicant's most recent annual budget for operations (If available)
Financial Capacity: Financial information such as bank balances, available loans and other sources of funding
the enterprise.
Products and Services: A list/description of the general products and services the business will provide.
Iii Community Benefit: The applicant shall demonstrate to the satisfaction of the City of its intent to local hiring
and community support.
Ii] Education Plan: A plan describing the type of cannabis education and prevention efforts that will be provided by
the business to the community.
Iii 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.
Iii Lighting Plan: A detailed lighting plan showing existing and proposed exterior and Interior lights that will provide
adequate security lighting for the business site.
Ii] 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 fioor 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.
Ii] Water Efficiency Plan: The applicant shall demonstrate to the satisfaction of the City that sufficient water supply
exists for the use.
Ii] 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.
1!11 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 compiles with all federal,
state and local requirements for management of such substances.
Iii 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.
10
H. City Aui:lioriz!ltiori -__ - _ _ _---~
Iii 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
Iii 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 llablllty
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 Obispo, 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 permlttee shall reimburse the City for its reasonable legal costs and attorneys'
fees.
J. Nonrefundable Filing Fee -
Iii 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
g) I, the applicant, understand that a completed and processed Request for Live Scan Service, State of California
Form BCIA 8016, as determined by the City of San Luis Obispo, by a duly authorized business must be provided for
t the applicant and all interested parties. All applicable fees and charges are the responslblllty 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)
11
M. Applicant's Certification
I agree to abide by and conform to the conditions of the permit and all provisions of the San Luis Obispo Munlclpal
Code pertaining to the establishment and operation of the commercia l cannabis business. I acknowledge that the
approval of the Commercial Cannabis Business Operators Permit shall, In no way, pe rmit 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 thl licatlon, and that the Information contained herein Is true and correct.
Signature: Date: (
If! document Is subject to disclosure under t/Je Public Records Act.
Appl/cants prov/d1i1g false or m!slead!ng lnfotmatlon In the permitting process w//I result In rejection ofthe app//tAUon
and/or nulllncatlon or revocation of any Issued permit. All commerc/a/ cannabis perm/ls 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 fol/owing findings are made:
I) n1e appllcatlon does not meet all requirements ofthe commercial cannabis ordinance/· or
II) Approval would vel)I l/ke/y result In harm to public safef:Yt l1ealth or welfare; or
Ill) Potent/a/ negative Impacts of the use cannot be mitigated with conditions or through the ordinance
requirements,
Appl/cants will be notlned regarding appl!tAt/on completeness
12
l
M. Applicant's Certification ·
I agree to abide by and conform to the conditions of the permit and all provisions of the San Luis Obispo Munlclpal
code pertaining to the establishment and operation of the commerclal 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 appllcable law.
I certify under penalty of perjury under the laws of the State of callfornla, that I have personal knowledge of th e
Information contain d In this a pllcatlon, and that the Information contained herein Is true and correct .
Signature: Date: 1hf/1q
I
The Information contlllned on tills document/$ subject to disclosure under the Public Records Act.
Appl/cants providing false or misleading Information In the permitting process w/11 result In rejection ofthe application
and/or nulllffcatlon or revocation ofany issued permit. All commercial Cilnnabls 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 fol/owing findings are made:
I} The application does not meet allrequirements ofthe commerdal cannabis ordinance; or
II} Approval would l!C'!Y likely result In l1arm to pub/le safety, health, or welfare; or
Ill} Potential 11egab·ve Impacts ofthe use cannot be mitigated with conditions or through the ordinance
requirements.
Appl/cants will be notified regarding applicatlon completeness
COMMERCIAL CANNABIS BUSINESS OPERA.TORS PER.MIT .APPLICATION
OWNER'S STATEMENT OIF CONSENT
If the applicant Is not the owner of record of the subject site, the following Statement of Consent must be completed
by the owner or the owner's authorized representative, granting the applicant permission to apply for a cannabis
business operator permit.
I, the undersigned legal owner of record, hereby grant permission to:
Applicant: Hollister SLO, LLC Phone: (
Mailing Address: 113 N. San Vicente Blvd. -Third Floor, Beverly Hills, CA 90211
To operate a commercial cannabis business on the property described below. 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 establi shment and
operation of the commercial cannabis business. I acknowledge that the approval of the Commercial Cannabis
Business Operator 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.
The subject property Is located at: _2.....;.0_;_7;..__;H"""ig<..;:u.:..;:e_;_ra::c........::S-=-tr....::.e-=-e.:...t -----------
Assessor's Parcel Number: 003-721 -039 ----------------------
Printed Name of Owner of Record: _2_0_7_H"'""ig<..;.u.;....e-'-ra~,._L_L_C ___________ _
Address of Owner of Record:
ress:
Slg~~tur.e of owner of Record: -. ~-Date: 1/ub,.
HAfl.K ~·v-~1 ~
CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the lndlvldual who signed the
document to which this certificate Is attached, and not the truthfulness, accuracy, or valldlty of that documen t.
who proved to me on the basis of satisfactory evidence to be the person~ whose namets) ls/me
subscrf bed to the within instrument and acl<nowledged to me that he/shei'they executed the same In
his/I 1e1,'tt 1e!r authorized capacity~, and that by hls/he1/llteh sf gnature"8J on the instrument the personW:
or the entity upon behalf of whf ch the person(s) acted, executed the instrument.
i············,
Place Notary Seal Above
I certify under PENAL TY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESSm~yhandand .
Sfgnature -·~o_,c;_-...,::;.. _ _..,,=---=-~-==:...-,~-·=--
Signature o Nata?
oPnONAL ~~~~~~~~-------------
Though this section is optional, completing this Information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date: _______ _
Number of Pages: Signer(s) Other Than Named Above: ------------
Capaclty(ies) Claimed by Signer(s)
Signer's Name:------------
0 Corporate Officer -Tltle(s): _____ _
0 Partner -0 Limited 0 General
0 Individual 0 Attorney in Fact
0 Trustee 0 Guardian or Conservator
0 Other:--------------
Signer Is Representing: ---------
Signer's Name: ___________ _
0 Corporate Officer -Title{s): __ __...... __ _
0 Partner -D Limited 0 General
0 Individual D Attorney In Fact
0 Trustee D Guardian or Conservator
0 Other: --------------
Signer Is Representing: ---------
2014 National Notary Association • www.NatlonalNotary.org • 1-800 -US NOTARY (1-800-876-6827) Item #5907
15
Secretary of State
Articles of Organization
Limited Liability Company (LLC)
IMPORTANT-Read Instructions before c.omp\etlng this fotm,
Filing Fee -S70.00
Copy Fees -First page $1.00; each auacllment page $0.50;
Cortificalion Fee· $5.00
LLC-1
Note; LLCs may have to pay minimum $800 lax to the California Franchise Tax Board
each year. For more Information, go to https:!Jww.v.ftb.ca.gov,
2 0 1 9 0 1 1 1 0 0 5 0
IFiliED l-IX'/\i
Secretary of State i \'
State of Cainomla
JAN 10 2019
This Space Fur Office Use Only
1. Lhn\ted liabl\i\y Com\>any Name {See !ns\rvclion~ -Musi conlaln an LLC ending ~•uch as LLG or L.L.C. ~LLC" will be added, II no\ Included.)
Hollister SLO LLC
2. Business Addresses
e. ln!tlal Slreet/,ddress ol Ooslgnatod Orfice in Colifom!n • Oo no! enter a P.O. Box City (no abbrllviarons} S!a!e lip Code
401 Higuera St San Luis Obispo
CA
93401
b, fn!1io! Mulling Addr&$S o{ LLC, If different lhan llom 2a Clly (no abbrovla\'ons) Stale Zip 01'.lda
3. Service of Process (Musl provide either lndlvldua! OR CorpornU,on.)
INDIVIDUAL~ Complele Items 3a rm<l 3b only, Must Include agent's full name and Califor~la street address.
a. Cal\fomla Agent'a First Name (If agent Is not <.1 co1porauon) Middle Ni;ime Last Name Suffix
b. Street Address (if agef'll is not a corp01aUon). Do not enter a P.O. Box City {no abbrevlaUons) Slate Zip Code
CA
CORPORATION -Comp!ale Item 3c. Qnly include !he name of the registered agent Corporation.
o. Ca!ifomia ~egistered Corporate Agent's Name (if agent Is a corporation) -Do f\01 <::omplete Jten1 3a or 3b =1
Lega!Zoom.com, Inc.
4. Management (Select only one pox)
The LLC will be managed by:
0 One Manager 0 More than One Manager IZI All LLC Member(s)
5. Purpose Statement (Do not alter Purpose Statement)
The purpose of the limited liability company Is to engage In any lawful act or activity for which a limited liability company
may be org~nlted under \he California Revised Uniform Limited liability Company Act.
6, The Information contained herein, Including In any attachments, is true and c:orrect.
By: Cheyenne Moseley, Assisrant S<icrn1ory, Lego!Zoom.com, Inc.
Organize fJiin hMe Pr\n\ your name here
1.LC·1(R!::V0412017) 2017 Cali/om/a Secietary of state
YNNJ.sos.ca.govlbu~lness/be
6
Application
City Commercial Cannabis Permit Required
Pursuant to SLOMC 9.10.040.A., Native Bliss will not engage in Commercial Cannabis Activity or have an
ownership interest in, operate, or manage, a Commercial Cannabis Business without obtaining and continuously
maintaining the Commercial Cannabis Business Permit pursuant to this chapter.
Commercial Cannabis Operator Permit and State License(s) Required
Pursuant to SLOMC 9.10.040.B., Native Bliss will not own, conduct, manage, operate, engage or participate In,
work or volunteer at a Commercial Cannabis Activity or Commercial Cannabis Business that does not have a valid
Permit issued pursuant to this chapter and other City permits or licenses required by this Code, in addition to the
appropriate licenses. required by state law to conduct the Commercial Cannabis Activity. Any Commercial
Cannabis Business or Commercial Cannabis Activity conducted without all required City and state permits and
licenses is prohibited and unlawful and is hereby declared to be a public nuisance.
Grounds for Automatic Disqualification
Pursuant to SLOMC 9.10.060.C.3}, Native Bliss, will ensure that:
None of its officers, directors or owners, or any person listed in the application,: has been convicted of any
felony or offense referenced in Business and Professions Code Section 26057; or
Has been subject to fines, penalties, or sanctions for cultivation or production of a controlled substance on
public or private lands or for unauthorized commercial cannabis activities as specified in Business and
Professions Code Section 26057; or
Has had a commercial cannabis license suspended or revoked by the State of California or any city or county
in any state, within the three years preceding the date the application Is filed, or Is Ineligible to apply for a
state cannabis license.
Pursuant to SLOMC 9.10.060.C.5), Native Bliss will ensure that no person listed on the application is a licensed
physician making patient recommendations for medical or medicinal cannabis pursuant to State law.
Pursuant to SLOMC 9.10.060.C.6), Native Bliss will ensure that no person listed in the application is less than
twenty-one (21) years of age .
17
Lease First 5 mo (w/ deposit)
Estimated Deposit
Document Prep
City Fees
Vehicles & Vessels
Buildout
Insurance
Payroll
Misc.
Contingency
3-Months Operating Expenses
Grand Total
Operational Timetable
Upon award of a commercial cannabis business permit, Native Bliss will work within the timetable offered below,
in order to be fully operational within (6) six months. Native Bliss will not engage in business in San Luis Obispo,
without first being issued a permit and determined operational by the BCC.
All dates are tied to the following assumptions on the City of San Luis Obispo's assessment process, and will be
adjusted accordingly with actual completion dates.
Task Description Planned End Date
Phase 2 Determinations by City-3/1/2018
Prepare for City Interviews and Presentations 3/10/2019
Negotiate and secure Security Consulting contract 3/10/2018
Prepare all architectural construction plans, including mechanical,
electrical, and plumbing specifications, for submission for Planning 3/20/2018
Department approval.
Negotiate and secure General Contractor (GC) contract, scope of work,
3/20/2018
and detailed construction budget with Construction Contractor.
18
Submit all required docs to San Luis Obispo Building Department for
3/30/2019
review.
Acquire San Luis Obispo building permit. 4/20/2019
Begin construction at [Company Name] facility. 4/22/2019
Mobilize and demo existing interior of the building. 5/30/2019
Install Mechanical, Electrical, Plumbing (MEPs) rough-ins. 5/30/2019
Install rough-in for Security and Surveillance. 5/30/2019
Install exterior decorative siding. 5/30/2019
Install insulation and drywall of vault. 5/30/2019
Install interior trim package 6/30/2019
Install lines on paved parking lot for parking spaces, landscaping 6/30/2019
Install floor coverings, 6/30/2019
Complete interior painting and MEP finish trims. 6/30/2019
Complete remodel. 6/30/2019
Purchase Point of Sale {POS) system and computer hardware, label
7/15/2019
printers, and bar codes scanners.
Install POS system and Inventory Tracking, as well as required hardware
7/15/2019
and peripherals.
Engage and establish partnerships with municipal and state law
7/15/2019
enforcement.
Install security system, 7/15/2019
Invite local law enforcement to tour facility. 7/15/2019
Interview applicants for employment. 7/15/2019
Complete background checks on potential hires, 7/15/2019
Finalize employment hiring. 7/31/2019
Employee Training on OSHA, Security and POS system 8/15/2019
Employee Training on Inventory Control and Diversion Prevention 8/15/2019
Employee Training on Waste Management and Customer Data Security 8/15/2019
Employee Training on all other [Company Name] SOPs 8/15/2019
19
Select and procure staff uniforms and safety equipment. 8/15/2019
Acquire and post San Luis Obispo-mandated slgnage. 8/15/2019
Test all equipment, SOPs, and systems (Security, POS, Fire, Waste,
8/15/2019
Diversion Prevention}.
Complete Inspections with city. 8/31/2019
Comp lete sta te-mandated Inspections. 9/15/2019
Host Open Houses at [Company Name] facility. 9/30/2019
Open facility for business. 10/1/2019
Parking Plan
Scori ng Criteria: Th e propose d ca nn a bis b us iness site can acco mm o date th e re qui re d number o f
pa rking s paces and safe and conve ni e nt a ccess for c ust o m e rs /e mployees. (1-5 poi nts)
Native Bliss's retail facility has 10 parking spaces, including 1 ADA-compliant parking space. It's previous use was
for office space, and It's new use will be retail. No change In intensity of parking is anticipated. Please see the
Parking Matrix on the attached Site Plan, for addltiona l information.
20
Company Principals
Ki rk Az evedo
l<irk J. Azevedo, D.C., will be President of Native Bliss. An experienced cannabis and healthcare professional, l<irk
will retain 92 percent ownership in Native Bliss and supervise the major operations,
l<irk began his work in the field of compliant medical cannabis when he purchased property in San Luis Obispo in
early 2013, and began cultivating cannabis under the auspices of Proposition 215. Working with focal law
enforcement and city officials, Kirk produced compliant cannabis medicinal products for patients qualifying
under Prop 215.
As a chiropractor, Kirk has spent his career devoted to providing pain management and relief for individuals
struggling to navigate debilitating conditions, without the use of highly addictive opioids. He has provided
referrals of patients to physicians who could provide recommendations for local cannabis collectives and
nonprofits.
For the past three years, Kirk has expanded his skills beyond cultivation, studying under top extraction specialists
such as Professor Jerry King, and in 2015 he began Riparian Biosupport. In addition to managing 200,000 sq. ft of
canopy, as CEO of Riparian he has manufactured C02 (Apeks), kief-tumbler, rosin and ethanol, and performed
extraction, cartridge filling, topical production, winterization and clarification .
l
l<irk serves as an employee to cannabis companies striving to provide compliant, consistent, pharmaceutical
grade products to qualifying patients, and now for adult use consumers. His work in San Luis Obispo County both
in and out of the cannabis industry, and have given him a unique and enriched understanding of the
community's needs, both for palliative care and for the quasi-legal cannabis industry to be brought into full local
and state compliance.
Marc Bohbot
Marc Bohbot, creator and designer of multiple worldwide fashion brands and Chairman and CEO of the Standard
Oil Investment Group, will reta in 8 percent ownership and will serve as Native Bliss Vice President, advising and
executing on the financial and brand vision for the company.
Marc's journey into medicinal cannabis reflects the commitment he has to a late family friend, Adam Krief. Adam
served as an inspiration before and after his passing In 2016 from complications related to a rare form of blood
cancer. This difficult time In Marc's life gave way to a new business concept. Stepping out of fashion and real
estate, Marc teamed up with Kirk Azevedo to found Native Bliss. As a stakeholder in a retail cannabis business,
Marc Is part of a unique dynamic that allows him to serve those stricken with illness in more than one way: He
can continue to his philanthropic quest while ensuring that patients In need of relief have a safe and legal means
to obtain it.
Marc and his wife, Michele, are no strangers to charitable causes. One foundation that they are committed to is
Gift of Life, the bone marrow registry that Adam l<rief used to find his donor. Marc and Michele are also largely
committed to hiring locally, partnering with local vendors, and ensuring that competitive wages are offered. They
believe In supporting and giving back to the community, and they are devoted to ensuring that Native Bliss's
success will be one that reverberates throughout the community.
21
KIRK AZEVEDO, D.C,
EXPERIENCED CANNABIS PROFESSIONAL
Pre;ident ct Rip:!ricrl Biosuwart, Inc., dai\e'ing pharrraceutical quality cannabis
Cf1CI canM:iis msecl p-oducts from sEB:l to sae
CANNABIS EXPERIENCE
Riparian Blosupport, Inc.
Founder and Pte:Jdent 2a:JS.C unmt
Cult/vat/on
200,000 &l · ft. ofccmw
176,000 under hoop-house
Mal'Hiacturlng
C02 (A~s), kie'-turrtler, rosin Md etlwlol ed:ractio n
Wlnteriiation Md clarificalon
Cartridgafi lling topical p-oduction
NllSefY
De'l.Eloped "p-op-ietay' g:!l'lEtics
Clones, te:!OS, see:ls
Research & De.Je!optmnt
TrMSderrml THC/CBD p:iin p:itch usingethosorrete:.tmolog;for
cherrothe'aw i:Kients
THCvfor diet and w:!EtJt bss
Mlcro-da;e THC p-e-mrkout fbrrnilctlon
Re:o\e'}'CBD Post-w:irkout nutrition
Eplg:!l'lEtic plart l:rea:lingfor rrite tolerance (EpiMite) and
rm::ronutri01t dEfidency(EpiMa::ro)
Tissue Culture fur in-hoU99 gaietic p-E15Ef'\etlon Cf1CI Marker Assisted
sele:tlon
Yied and quaityof la~scae cannabis p-oduction in: natil.~soil, rrulch,
hoop house (2 film twesl. fUl-sun g-01M1 and corrillnations of theie
p-a:tices
Trelisingand plart trainlngte:hnlqlSS and its ere:t on yied, quality,
ax! i:Khogal susoerti~lity
Cannabis oil clarificalon te:hnlques (carbon, silica p;ylliuni and its
ara:t on ~eld Cf1CI cannabinoid cont01t
EDUCATION
Jerry King, PhD, U nlverstty of Arkansas, 2016
studied and calil:ratEd C02 e<tractlon for terpene and cannabino ld e<traction
te::hniquei.
Palmer College ofChlrop-actlc West, 1998-:2001
Doctor ofChirop-actlc, Cum Laude
Cal Poly State U nlversity, San Luis 0 blspo, 1907·1992
Ba::hela-of Sci~ Biochenistry
22
RELATED EXPERIENCE
Ripild"ian Management, Inc.
Founder and CEO, 20JS.Curre111:
Me:ticoi IY<ll "9" 1"' t comf)3¥ sp>::iai2ing in Reg9reretil.e Me:tici re ( PRP,
snriotic merrbra"<\ <rd cord blood) for orthop;:dic corditlons.
First A Id T elecenters, Inc.
Founder and Pre9denl:, 20115 -Crmmt
Ramta H9'lt!ure Corporaion
Core Care
Founder atKI CEO, 2001-201/J
Multidis:lpliray l....ittm-e clinic 'lJE"ioli2ing in pan~ ircludirg
Reg9reretl1e Medici re. Pl¥fcol T!...-epy, Act.pt.11Cb.re, Cfiroproctic, erd
Nutrition
Monsanto Company
Local Marl«!t Manager, HedJiddesatld Genetically Etl{jneered
Crop;, 2005-2008
Ma.l.fa:b.re Repreertrti1efor tt-e f"Slicide Rourdt.p. Fe::ili!anrfor the
comrrerciaiJEtion of9""ficolly eajne=red crops-Rourdt.p-RefdyCotb:rn
COMMITTEES
San Luis Obispo CountyCannabisAwlsoryGroup Member,
2018 -C urrent
Central Coast Cannabis Councll Board Member, 2018 -Current
State of C allfornia Appointed Q ualilled Medical Examiner (Q ME
AME), 20M • 2012
California State Senate District 12, Committee for Awlcijture
and Water Resources, 1995
University of C alifurnia, Committee for Pyrethrokl Resistance
Management,1994
Merced Comty Mental Hea1H1 Board, Vice C hair, 1992-1994
University of C alifurnia Davis, Committee on Introduction of
The Principles oflntewated Pest Management Into The Pest
ControlAdtlsorsTest, 1993
LANGUAGES
Eajish-Native~
Sp<oish -Medical and Agicultural
23 i