Barstow City Council
December 21, 2022

REV 1/5/2022 Cannabis License Application Page 8 of 68
We, _ Barstow Outlet, LLC and Fred Dehnoushi
(Printed Name of Property Owner) (Printed Name of Operator) Collectively acknowledge that we have been provided a copy of the cannabis facility operating standards listed on the City of Barstow's most recent cannabis ordinance. We further acknowledge that we have read, understand, and shall ensure compliance with the aforementioned operation standards and all applicable provisions of the City of Barstow's most recent cannabis ordinance at the time cannabis facility entitled Grow Organic 12, Inc
(Name of facility listed on the application)
We certify under penalty of perjury that the foregoing information is true and correct. _ day of _ 20
(rean in Barstow, California.
(Month)
-Printed Name & rte Authent
Signature of Property
/ /
Signature of Operator Printed Name & Title
220 E Mountain View St. Ste A • Barstow, CA 92311 • (760) 255-5161 • https://www.barstowca.org/home