A-374 Request to Alter a Cannabis Store Application Form Download Form PDF Request to Alter a Cannabis Store Application Form Request to Alter a Cannabis Store Application Form Date of Request Cannabis Retailer Licence Holder Contact Information Cannabis Retailer Licence Holder Name Email Phone Address City/Town - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon State/Province ZIP/Postal Code Licence Number I am requesting to alter the following aspect of my cannabis store overall structure walls layout locks/locking mechanism intrusion detection system video surveillance system Note: Any change to an aspect of an existing Cannabis Store checked above MUST comply with the security requirements in Schedule C: Physical Security Measures of the Cannabis Regulations. Reason for Requested Alteration I am requesting to alter the above noted aspect of my cannabis store for the following reasons Proposed Alteration I am requesting to alter the above noted aspect of my cannabis store to the following Proposed changes comply with security requirements The proposed changes comply with the security requirements listed in Schedule C of the Cannabis Regulations. Alteration Prior to Approval (allowed in exceptional circumstances only The alteration was undertaken prior to approval because: The alteration was required due to a legally binding order issued by a public officer. Waiting for approval would have resulted in damage to property that could only be avoided by altering the above noted aspect of the cannabis store. Document Checklist A copy of the relevant details on the proposed alteration. (Details of new installations, including specifications required to be in compliance with the Cannabis Regulations). A copy of the legally binding order (if applicable). A letter detailing why alterations were required prior to approval to avoid property damage (if applicable). Steps Current Request to Alter a Cannabis Store Application Form DECLARATION Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.