Council File No.: c:: Applicant's Representative Telephone:.! D <... ""' - 1\J} }J ~ Representative's Mailing Address: Zip Code:

(1)

HARDSHIP EXEMPTION APPLICATION

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ICO Area:

Council File No.:

Citywide

05-0872-

s

Interim Control Ordinance No.:

Additionallnteriin Control Ordinance No.:

179027

NONE

Effective Date

09/14/2007

Applicant (Record Owner):

Telephone:

TRI-MODERN EPOCH, INC. (A

NON-PROFIT MUTUAL BENEFIT

CORPORATION)

818.359.6232

Applicant Mailing Address:

Zip Code:

18556 CHASE ST. SUITE 3

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NORTHRIDGE, CA

91324

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Applicant's Representative

Telephone:

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r·-ELENA NIKLOV A

818.359.6232

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Representative's Mailing Address:

Zip Code:

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18556 CHASE ST. SUITE 3

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NORTHRIDGE, CALIFORNIA

Property Address:

8619 RESEDA BLVD. STE. 104-A

NORTHRIDGE, CA 91324

Legal Description:

SEE ATTACHMENTS

Existing Zone (ZIMAS):

C2-JVL

Existing Land Use Designation (From City

Planning Department):

GENERAL COMMERCIAL

91324

Lot Area (Sq. Ft.):

SEE ATTACHMENTS

Structure/ Building/ Construction Date:

SEE ATTACHMENTS

Permit History (Include Permit Numbers):

SEE ATTACHMENTS

Describe Current Use (Include size in square feet, height, etc):

Non-Profit Medical Cannabis (Marijuana) Dispensing Collective (Amendments and

modifications to this Hardship Application, including, but not limited to, the nature, scope and

physical location of this facility, are provided for under the U.S. Constitution, the laws of the

United States, the State of California and the Los Angeles Municipal Code).

Note: A Master Land Use Application Is Not Required

JUL

0 7

2009

Page 3 of 5

(2)

Describe the proposed project and use (Include size in square feet, height, etc):

Non-Profit Medical Cannabis (Marijuana) Dispensing Collective (See Attachments)

Why do you believe a hardship exists for which an exemption should be granted? (An economic

analysis may also be submitted.)

SEE ATTACHMENTS

Do you have any ownership interest in any other parcels within 300 feet to this property? ( )Yes ( x )No

(if yes, submit a map showing the location and boundaries of the property for which an exemption is being requested, and the location of the other ownerships.

ADDITIONAL INFORMATION FLING REQUIREMENTS

In addition to this form, all below items should be included with the application, unless otherwise instructed by City Staff: a. Attach a map showing the location and boundaries of the property for which the exemption is being

requested. (May be the same map as required in No. 7)

b. Attach a Plot Plan showing the building footprint, parking plan, landscaping, balconies, driveways, any amenities, etc.

c. Attach an Elevation Plan, which includes dimensions for all views.

d. Attach Building Plans. If plans have been accepted by the Department of Building and Safety, list Plan Check No. - - - and Submittal Date _ _ _ _ _ _ .

e. Submit a Project History summary that includes dates and descriptions of meetingS, negations, expenditures, commitments, etc,

f. Submit Photographs of the subject property and all surrounding property- not over 8% x 11 inches, but of adequate size to illustrate the condition and physical context of the property under discussion.

g. Attach any additional Information as needed.

Note: A Master Land

Use

Application Is Not Required

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ATTACHMENT 4.1

APPLICATION FOR HARDSHIP EXEMPTION

Applicant herein applies for a Hardship Exemption in order to continue to operate as a

member-supported non-profit mutual-benefit collective. The non-profit purpose of this corporation is to

promote, support, and facilitate the cultivation, procurement, refinement, distribution,

dispensation and informed and proper use of medical marijuana by and for its patient/

caregiver-members in accordance with the spirit and statutory provisions of California's Compassionate

Use Act (Proposition 215), the Medical Marijuana Program Act of2003 (Senate Bill420), the

California Health and Safety Code Sections 11362.5,

et seq.

Applicant respectfully reserves the right to amend and augment this hardship exemption

application at any time prior to the hearing hereon and thereafter as may be provided by law.

(4)

THE FOREGOING INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE

APPLICANT (RECORD OWNER)* DATE

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k";7

REP~ATIVE DATE ' ( I

*

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.

Note: A Master Land Use Application Is Not Required

(5)

R1-Address: 8619 N RESEDA BLVD

APN: 2785005025

PIN#: 1958125 1017

NAPA ST

Display: Generalil:ed Zoning

Tract: tR 3809 Block: None Lot: 127 Arb: None RE, RS, R1, RU; RZ, RW! Zoning: C2-1VL

General Plan: General Commercial

(6)

PROPERTY ADDRESSES 8619 N RESEDA BLVD 8617 N RESEDA BLVD ZIP CODES 91324 RECENT ACTIVITY ZA-1999-448-CU,PA2 CASE NUMBERS CPC-2000-2931

csp,

TOD CPC-1986-253 ORD-163915-SA 1510 ZV-1980-175 ZA-21005 ZA-1996-448-CUZ-PAD ZA-1991-251-CUZ ZA-18642 ZA-16792 ENV-2005-2053-CE ENV-2002-2293-CE ENV-2000-2933-ND ND-80-246-ZV PKG-4975 AFF-21784

City of Los Angeles

-Department of City Planning

06/18/2009

PARCEL PROFILE REPORT

Address/Legal Information PIN Number:

Lot Area (Calculated): Thomas Brothers Grid: Assessor Parcel No. (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 Notes:

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: CDO- 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: 500 Ft School Zone: 500 Ft Park Zone: Assessor Information Assessor Parcel No. (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 No. (City Clerk):

195B125 1017 3,899.8 (sq It) PAGE 530- GRID J1 2785005025 TR 3809 M B 89-40/41 None 127 None 195B125 Northridge North Valley None CD 12 - Greig Smith 1154.02 Van Nuys None C2-1VL None General Commercial 4 Northridge None No No None None None None None None None No No None None No No None No No 2785005025 0.134 (ac) 1700- Office Building $357,201 $2,386,762 03/01/05 $2,700,027 16 575099 575099 575099 454471

The contents of this report are bound by the User Agroam&nl as d<.~scrlbed In ttw Terms and Condltlons of this website. For more details, plea-.;e refer to the Terms & Conditions link located at http://zlmas.laclty.org. (') - APN Area: LA County Assessor's Office Is not the data provider for !Ids ll!Ml. The data source Is from the Los Angeles CoU!lly's Public Works, Flood Control, Benent 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:

Additional Information Airport Hazard:

Coastal Zone: Farmland:

Very High Fire Hazard Severity Zone: Fire District No. 1:

Fire District No. 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:

454471

376455

33626

1982

D65B 0 0 0

20,463.0

(sq It) Not Available Not Available 0 0 0

0.0

(sq It) Not Available Not Available 0 0 0 0.0 (sq It) Not Available Not Available 0 0 0 None Not Available Not Available 0 0 0 0.0 (sq It)

250'

Height Limit Above Elevation

790

None

Urban and Built-up Land No No Yes None No None No No None No

7.93605 (km)

No No None None No None None None

(8)

Public Safety Police Information: Bureau: Division

I

Station: Report District: Fire Information:

District

I

Fire Station: Batallion:

Division:

Red Flag Restricted Parking:

Valley Devonshire

1788

103

15

3 No

Tllo contents of this report are bound by the Usw Agreement as described In the Terms and Conditions of this wobslte. For mora details, please rofer to tho Terms & Conditions link located at http://zlmas.laclty.org. (") . APN Area: LA County Assessor's Office is not the data provider for this Item. The data sou reo Is from the Los Angeles County's Public Works, Flood Control, Benefit Assessment.

(9)

CASE SUMMARIES

Note: Information for Case Summaries is Retrieved from the Planning Department's Plan Case Tracking System (PCTS) Database. Case Number: ZA'1·999c448'1':(:J'iPA2. ·

Required Action(s): CU-CONDIT\ONAL USE ·

Project Description(s): CONDITIONAL USE PERMIT FOR THE INSTALLATION, USE, AND MAINTENANCE OF AN UNMANNEDWIRELESS TELECOMMUNICATIONS FACILITY ON THE

SPORTSMAN'S LODGE COMPLEX LOCATED AT12825 VENTURA BL. Case Number: Required Action(s): ProjeCt Description(s): Case Number: Required Action(s): Project Description(s): Case Number: Required Action(s): Project Description(s): Case Number: Required Action(s): Project Description(s): Case Number: Required Action(s): Project Description(s): Case Number: Required Action(s): Project Description(s): Case Number: Required Action(s): Project Description(s): Case Number: Required Action(s): Project Description(s): CPC'2000c2931-$P,TOD

SP-SPECIFIC PLAN (INCLUDING AMENDMENTS)

PROPOSED TRANSPORTATION SPECIFIC PLAN. DISAPPROVED BY CITY PLANNING COMMISSION OF 11-15-2000.

CPC' 198.6-253 Data Not Available

NORTH RIDE DISTRICT PLAN AMENDMENTS- GENERAL PLAN/ZONING CONSISTENCY PROGRAM

ZA-1996-448,CUZ-PAD

CUZ-ALL OTHER CONDITIONAL USE CASES

PAD-PLAN APPROVAL ONLY FOR A DEEMED-TO-BE-APPROVED CU

REQUEST THE ADDITION OF A ROOF-TOP TWO-WAY PAGING FACILITY TO THIS EXISTING THREE-STORY OFFICE BUILDING IN THE C2-1VL ZONE.

ZA'1991-251-CUZ

CUZ-ALL OTHER CONDITIONAL USE CASES

TO PERMIT AN EXISTING 3-STORY OFFICE BUILDING WITH A MIDAS MUFFLER SHOP ADJACENTTO THE SOUTHAND BICYCLE SHOP ADJACENT TO THE NORTH IN THE C2-1VL ZONE AND REQUEST FOR INSTALLATION OF PACTELCELLULAR ANTENNAS AND APPUTENANT EQUIPMENT, ROOF AND WALL MOUNT ANTENNAS 12" X 24" X 5" ALONG WITH 2 ROOF MOUNT ...

ENV-2005-2053"CE.

CE-CATEGORICAL EXEMPTION

ENV-2002-2293,CE

CE-CATEGORICAL EXEMPTION

ENV-2000-2933-ND

NO-NEGATIVE DECLARATION

'·'

PROPOSED TRANSPORTATION SPECIFIC PLAN. DISAPPROVED BY CITY PLANNING COMMISSION OF 11-15-2000.