SIGNATURE: DATE: PRIMARY APPLICANT’S DESIGNATED ALTERNATE CONTACT SIGNATURE SIGNATURE: DATE: Medical Marijuana Residential Cooperative Cultivation License Application Notice to Applicants who have previously filed a Licensed Cultivator Application: Any Cooperative Cultivation Applicant that has filed Licensed Cultivator application, which is presently pending before the Department, need not submit Forms 1, 2, and 3. By its signature on and submission of this Application, the Cooperative Cultivation Applicant hereby authorizes the Department to review as part of this Application, the corresponding Forms submitted with its Licensed Cultivator Application. TABLE OF CONTENTS
SIGNATURE: DATE: PRIMARY APPLICANT’S DESIGNATED ALTERNATE CONTACT SIGNATURE SIGNATURE: DATE: Medical Marijuana Residential Cooperative Cultivation License Application Notice to Applicants who have previously filed a Licensed Cultivator Application: Any Cooperative Cultivation Applicant that has filed Licensed Cultivator application, which is presently pending before the Department, need not submit Forms 1, 2, and 3. By its signature on and submission of this Application, the Cooperative Cultivation Applicant hereby authorizes the Department to review as part of this Application, the corresponding Forms submitted with its Licensed Cultivator Application. TABLE OF CONTENTS
RESIDENTIAL_COOP_APPLICATION_WP.docx