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Planning and Building Agency <br />Planning Division <br />20 Civic Center Plaza <br />(714) 647-5804 Community Benefit, Sustainable Business <br />www.santa-ana.org Practices, and Social Equity Plan <br />This Plan is a public record <br />Section 3: Acknowledgement <br />I, , primary contact for business <br />owner for the commercial cannabis business named located at <br />in Santa Ana, <br />California, hereby acknowledge that the information presented on this Community <br />Benefit, Sustainable Business Practices, and Social Equity Plan is accurate and <br />enforceable by the City of Santa Ana pursuant to Chapter 40 of the Santa Ana Municipal <br />Code as a condition of Regulatory Safety Permit issuance, renewal, and maintenance of <br />the Regulatory Safety Permit in good standing. I also understand that documentation of <br />gross reported annual earnings from the prior reporting year and satisfaction of these <br />commitments is required as part of the annual Regulatory Safety Permit renewal process. <br />Primary Contact Date <br />Signature <br />Business Owner Date <br />Signature <br />Approved: <br />Executive Director Executive Director Date <br />Name Signature <br />Note: This is not a Regulatory Safety Permit (RSP) to legally operate a Commercial Cannabis Business. DO NOT <br />OPERATE unless a valid RSP is issued. <br />Page 5 of 5 <br />