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1 HARDSHIP EXEMPTION APPLICATION icoa"rea: c l-\ \ D..., \ "2. lntel'imcolitl'oi ol'iliriarice.: \\~ '2-\ effective Date: _, 9-IL{-o-, Aiiiiiicaiit(RecorclOwner): 1 i'eieiihone: counciffiiief.lo:: C)'S' - q:) I --z_ Aililiiionai.ilii.erim coiii.roioi'ciiiialice.: r~~~~5?~~( Qo\\... e<.':'\'.'"''c.. i... ~1.. zj)... 3l~ Applicant Mailing Address Zip Code: 6 Yo 5 GL ~ OAL--~ ~ex:.::> -~a, A"iiiiiicaiii.'sReiil'e&eiii.ai.ive Telephone: Represllntativii's iinaiiiii9a"c!cirlls&: Zip code: 3Yo:S GL:'z-~~"Z.. C4Do sa, F>l'oiiertyA"ilill'es&: 3::1~~ G'--'UA OAL--"i._ Legal Description: i '7:2'::::,~ al\'s'v\~. 'SJ:\'S>~'~. Existing Zone (ZIMAS): CQ~ e~~\ x"-. exisi.iii9laiiiiusedesi9iiai.ion (Fromcii\I.Fiiaririir\9 Deparlmynl): \ r". 1 1~,~~~~=t:)~ ~ ~..(\(\.': cot..a:i'ea{sqii.): '-\ ~3'-i stl'uciul'eisiliiiliii9colistl'uetioli.oate: sg \~<L~ "" Permit 1-listoi'Y <lridude Fiermitf\1 mb~j: ~ ~~~:u:r:~~e<'ncl~~~u!~~~height~~(~~~<~ r- rn :JJ ;;x:: -.. I l\)vf1:?1;,d~... -:::"'<?... "?.. ~.. ~... 2,1 -:::,-._.. "::?B':12a~.. L&,S C <2....\r-:JSS?'b=:J.... f.loie:p.masieri...aiid.ijse.ilijijiicatiotiis not re>i:ti.jired. Page 3 of 5

2 _.EDICAL MARIJUANA DISPEhoARY BUSINESS INFORMATION FORM Business Name P\2- \~"'~ L 'i Co\ \..e. c.:x \ 2... Strilet Address, Unit #?i\- $ \..::::>L"' A-._ QA L. Z., City, state, Zip A '\\_.A...-4/::;..'\" )_ v '\\A~ "L I Cft. c; oo:so, Business OWner 3<1 ~ ef l_ (l,.ia._ ~la '<11\.\ lr -c::l_. Business Operator/Manager Tr.ftnr1mber /C/3-3 1'7 Telephone Number (ijt8/ 7 ~::5- -:ro 1 '7 Tt~ho~jber C:\6s--=rl \3.-o~ ~~o&c:c_ 7q;] ~.) o r:v Fill out the information form above and attach the following documents. D a. City of Los Angeles Tax Registration Certificate D b. State Board of Equalization seller's permit D c. Property lease or documentation of ownership D d. Business insurance D e. Dispensary membership forms (blank) D f. Los Angeles County Health Department permit (if needed) Date I certify that to the best of my knowledge and under the penalty of perjury, that the information contained on this Medical Marijuana Dispensary Business Information Form Is correm. 1 further certify that to the best of my knowledge and under the penalty of perjury, that attached documents are correct and true.

3 Describe Proposed Project!!!Ill Use (Include siz$ in squere feet, height, etc.): ] The collective proposes to operate as a legally registered collective In full compliance with ~ California Prop. 215, SB42, and Los Angeles ICC # '. '' - I -----~ Why c1o you believe a hardalllp exists for which an exemption ehould liigranted? (Atiach a statement on I a separate sheet If nacessajy. An economic analysis may also be submitted.) A hardship exists In that through no fault of our patient collective, the federar government h!!s 1 been utilizing selective enforcement al)d a pattern of terror and fear upon the medical marijuana patients, collecllves arid caregivers. Despite thil 1996 passage of Proposition 215 [ J' - and subsequent clarification thro11gh sb 42, both federal and state governments have been slow to evolve and adapt. In the vejy recent past, within the past month, two vel}' promising developments. have occurred: 1. The Attorney General has set fflrth g uldellf!~s h!lre In CONTINUED NEXT PAGE Do you have any ownership lnteraatln any other pan:ets within 38 feet of this property? ( )Y88,V, (If yes, IIUbmll a map showing lhs /ocatfon lllld boundaries of the property for which an exemption Is being \i requemell, and the location of the other owiimlhips.) ADDITIONAL INFORMATION FlUNG REQUIREMENTS In addition to thls form, all below llems should be lnciudad With the appllcauon, unless otherwise ln81jueltld by City staff. a. Attach a map showing the location and boundaries of the property for which the exempllon Is being requested. (May be the same map as required In. 7) b. Attach a Plot Plan showing the building foolpl!nt, parking plan, landscsplng, balconies, driveways, any amenftles, etc. c. Attach an Elevation Plan, which Includes dlmanslons for ad views. d. Altsch BUilding Plans. If plans hev9 been accepted by the Department of Building and Safety, list Plan Check. Jl!l!l Submittal Date " e. Submll a Project HlslOI'Y summary that Includes dates and d9sc!iptlons ot meeflngs, negotiations, expendlures, commitments, etc. f. SUbmit Photographs of the wbject property and all surrounding property- not over 8 los K 11 inches, but ot adequate size to IUustrste the oondftlon and physical context ot the property under discussion. Attach any addlllonallntormatlon as naadad. te: A Master Land Use Appllutlon Is not Nqulred. Page4of5

4 ~~..,~ - \~.. - '... ~ _ - " '...,.... California to finally clarify the rules''" proper operation of a dispensing oolleotive,,.'the United States Supreme Co4rt has declined to re,hear the Peopl~ v, Kha case ahowlno the unmistakable trend toward feideral iecognillon and a new era of properly ~u let~ and operated collectives. Our management brings extensive medical office management skills as well as compassion and knowledge as to proper and restrained medication with cannabis. pursuant to the recommendation of only a licensed physician here in California. However we have been compelled to QPerate without full local sanction due to tile federal threat. Due to this threat we wera precluded by rear of harassment and selective prosecution until this tast month, and this has constituted a hardship' as the cohfllct petween California and federal law had previously required ihat managing members of the collective lite Iaiiy confess a federal crime In order to register under the ICO. This is the hardship we faced. Due to the recent legal developments we are!ible to file without the above threat and we respectfully submit this Is the basis of the hardship for which we seek exemption from the filing date set forth In the ordinance :!~'.:.,,. :.'.... -~.. ~. ~.,'.. ''. :.. '). ":'- "i'....:., ;:. : ~'... PAOE4.5

5 THE FOREGOING INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE i:>C{ Date Date * Proof of ownership will be required at the time of application submittal. A recorded grant deed and/or City Clerk's ownership records printout are acceptable. te: A Ma$ter Land Use Application Is not required. Page 5 of5

6 City of Los Angeles Department of City Planning f>l./i.nn! 2/16/29 PARCEL PROFILE REPORT PROPERTY ADDRESSES 345 N GLENDALE BLVD ZIP CODES 939 RECENT ACTIVITY CASE NUMBERS CPC-2249 CPC POD CPC I PRO CPC GPC ORD ORD SA435 ORD ORD SA 142 AFF Address/Legal Information PIN Number: Lot Area (Calculated): Thomas Brothers Grid: Assessor Parcel. (APN): Tract: Map Reference: Block: Lot: Arb (Lot Cut Reference): Map Sheet: Jurisdictional Information Community Plan Area: Area Planning Commission: Neighborhood Council: Council District: Census Tract#: LADBS District Office: Planning and Zoning Information Special tes: Zoning: Zoning Information (ZI): General Plan Land Use: Plan Footnote- Site Req.: Additional Plan Footnotes: Specific Plan Area: Design Review Board: Historic Preservation Review: Historic Preservation Overlay Zone: Other Historic Designations: Other Historic Survey Information: Mills Act Contract: POD - Pedestrian Oriented Districts: COO - Community Design Overlay: NSO - Neighborhood Stabilization Overlay: Streetscape: Sign District: Adaptive Reuse Incentive Area: CRA - Community Redevelopment Agency: Central City Parking: Downtown Parking: Building Line: 5 Ft School Zone: 5 Ft Park Zone: Assessor Information Assessor Parcel. (APN): APN Area (Co. Public Works)': Use Code: Assessed Land Val.: Assessed Improvement Val.: Last Owner Change: Last Sale Amount: Tax Rate Area: Deed Ref. (City Clerk): 156B ,534.9 (sq ft) PAGE 594- GRID E TR 24 M B 22-17/171 B 7 156B29 rtheast Los Angeles East Los Angeles Atwater Village CD 13 - Eric Garcetti Los Angeles Metro [Q]C4-1XL Zl-2282 Atwater Village Pedestrian Oriented District Zl-2282 Neighborhood Commercial See Plan Footnotes rtheast Los Angeles Atwater Village Pedestrian Oriented District (a c) 11- Stores $17,414 $47,738 5/11/ $55, The contents of this report aro bound by tho User Agreement as described In the Terms and Condlt!ons ofthls wt~bs!te. For more details, please refer to the Terms & Conditions link located at t J APN Area: LA County Assessor's Office Is not the data provider for this Item. Tho data source Is from the Los Angeles County's Pub!lc Works, Flood Control, Benefit Assessment.

7 Building 1: 1. Year Built: 1. Building Class: 1. Number of Units: 1. Number of Bedrooms: 1. Number of Bathrooms: 1. Building Square Footage: Building 2: 2. Year Built: 2. Building Class: 2. Number of Units: 2. Number of Bedrooms: 2. Number of Bathrooms: 2. Building Square Footage: Building 3: 3. Year Built: 3. Building Class: 3. Number of Units: 3. Number of Bedrooms: 3. Number of Bathrooms: 3. Building Square Footage: Building 4: 4. Year Built: 4. Building Class: 4. Number of Units: 4. Number of Bedrooms: 4. Number of Bathrooms: 4. Building Square Footage: Building 5: 5. Year Built: 5. Building Class: 5. Number of Units: 5. Number of Bedrooms: 5. Number of Bathrooms: 5. Building Square Footage: DXA 1 5,19. (sq fl) t Available t Available. (sq fl) t Available t Available. (sq ft) t Available t Available t Available t Available. (sq fl) Additional Information Airport Hazard: Coastal Zone: Farmland: Very High Fire Hazard Severity Zone: Fire District. 1: Fire District. 2: Flood Zone: Hazardous Waste I Border Zone Properties: Methane Hazard Site: High Wind Velocity Areas: Hillside Grading: Oil Wells: Alquist-Priolo Fault Zone: Distance to Nearest Fault: Landslide: Liquefaction: Economic Development Areas Business Improvement District: Federal Empowerment Zone: Renewal Community: Revitalization Zone: State Enterprise Zone: Targeted Neighborhood Initiative: Public Safety Police Information: Bureau: Area not Mapped Yes Within Fault Zone Central The contents of this report are bound by the User Agreement as described In lhe Torms and Conditions of this website. For more details, please refer to the Terms & Conditions!Ink located at ( ) APN Area: LA County Assessor's Office Is not tho data provider for this Item. The data source Is from the Los Angeles County's Public Works, Flood Control, Benefit Assessment.

8 Division I Station: Report District: Fire Information: District I Fire Station: Batallion: Division: Red Flag Restricted Parking: rtheast The contents ofthls report are bound by the User Agree mont as described!n the Terms and Cond!Uons of this website, For more details, ploase refer to tho Terms & Conditions link located at (") APN Area: LA County Assessor's Office Is not the data provider for this Item. The data source Is from the tos Angeles County's Public Works, Flood Control, Benefit Assessment.

9 CASE SUMMARIES te: Information for Case Summaries is Retrieved from the Planning Department's Plan Case Tracking System (PCTS) Database. Case Number: Required Actlon(s): Project Description(s): Case Number: Required Action(s): Project Description(s): Case Number: Required Action(s): Project Description(s): DATA NOT AVAILABLE CPC-2249 ORD ORD SA435 ORD ORD SA142 AFF CPC POD POD-PEDESTRIAN-ORIENTED DISTRICT ALSO KNOWN AS GLENDALE BL BETWEEN RIVERSIDE DR AND SAN FERNANDO RD, & LOS FELIZ BL BETWEEN RIVERSIDE DR & SAN FERNANDO RD. ZONE CHANGE FROM C1.5-1 TO C4-1 CPC IPRO!PRO-INTERIM PLAN REVISION ORDINANCE INTERIM CONTROL ORDINANCE FOR THE ENTIRE NORTHEAST LOS ANGELESDISTRICT PLAN CONTINUATION OF CPC SEE GENERAL COMMENTS FOR CONTINUATION. CPC GPC GPC-GENERAL PLAN/ZONING CONSISTENCY (AB283) GENERAL PLAN/ZONING CONSISTENCY- ZONE CHANGES- HEIGHT DISTRICT CHANGES AND PLAN AMENDMENTS- VARIOUS LOCATIONS The contents of this report are bound by the User Agreement as described In the Terms and Conditions of lhls website. For more details, please refer to the Terms & Cond!llons link located at (') APN Arna: LA County Assessor's Office Is not the data provider for this Item. ThG data source Is from the Los Angeles County's Public Works, Flood Control, Benefit Assessment.

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