1 Applicant Name, Address and Contact – Information 2 Facility Information – PART B Diversity Plan – 3 Diversity Plan 100 100 – PART C Applicant Background Information – 4 Principals, Financial Backers, Operators and – Employees 5 Moral Affirmation – 6 Compliance with Applicable Laws and – Regulations 7 and Administrative Action – PART D Plan of Operation – 8 Operational Timetable 50 – 9 Employee Qualifications, Description of Duties 25 – and Training 10 Security and Surveillance 50 – 11 Transportation of Medical Marijuana 25 – 12 Storage of Medical Marijuana 25 – 13 Packaging and Labeling of Medical Marijuana 25 – 14 Inventory Management 25 – 15 Management and Disposal of Medical 25 – Marijuana Waste 16 Diversion Prevention 50 – 17 Growing Practice 50 – 18 Nutrient and Additive Practices 50 – 19 Processing and Extraction 50 – 20 Sanitation and Safety 25 – 21 Quality Control and Testing for Potential 50 – Contamination 22 Recordkeeping 25 – Subtotal 550 PART E Applicant Organization, Ownership, – Capital and Tax Status 23 Organizational Structure – 24 Business History and Capacity to Operate 75 – 25 Current Officers – 26 Ownership – 27 Capital Requirements 75 – Subtotal 150 PART F Community Impact – 28 Community Impact 100 100 – ATTACHMENTS: Attachment A: Signature Page Attachment B: Organizational Documents Attachment C: Property Title, Lease, or Option to Acquire Property Location Attachment D: Site and Facility Plan 50 Attachment E: Personal Identification 50 Attachment F: Affidavit of Business History Attachment G: Affidavit of Criminal Offense Attachment H: Tax Clearance Certificates
1 – Applicant Name, Address and Contact Information 2 – Facility Information PART B – Diversity Plan 3 – Diversity Plan 100 100 PART C – Applicant Background Information 4 – Principals, Financial Backers, Operators and Employees 5 – Moral Affirmation 6 – Compliance with Applicable Laws and Regulations 7 – and Administrative Action PART D – Plan of Operation 8 – Operational Timetable 50 9 – Employee Qualifications, Description of Duties and Training 25 10 – Security and Surveillance 50 11 – Transportation of Medical Marijuana 25 12 – Storage of Medical Marijuana 25 13 – Packaging and Labeling of Medical Marijuana 25 14 – Inventory Management 25 15 – Management and Disposal of Medical Marijuana Waste 25 16 – Diversion Prevention 50 17 – Growing Practice 50 18 – Nutrient and Additive Practices 50 19 – Processing and Extraction 50 20 – Sanitation and Safety 25 21 – Quality Control and Testing for Potential Contamination 50 22 – Recordkeeping 25 Subtotal 550 PART E – Applicant Organization, Ownership, Capital and Tax Status 23 – Organizational Structure 24 – Business History and Capacity to Operate 75 25 – Current Officers 26 – Ownership 27 – Capital Requirements 75 Subtotal 150 PART F – Community Impact 28 – Community Impact 100 100 ATTACHMENTS: Attachment A: Signature Page Attachment B: Organizational Documents Attachment C: Property Title, Lease, or Option to Acquire Property Location Attachment D: Site and Facility Plan 50 Attachment E: Personal Identification 50 Attachment F: Affidavit of Business History Attachment G: Affidavit of Criminal Offense Attachment H: Tax Clearance Certificates