A-374 Request to Alter a Cannabis Store Application Form

A-374 Request to Alter a Cannabis Store Application Form

Request to Alter a Cannabis Store Application Form

Request to Alter a Cannabis Store Application Form

Cannabis Retailer Licence Holder Contact Information
I am requesting to alter the following aspect of my cannabis store
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.
I am requesting to alter the above noted aspect of my cannabis store for the following reasons
I am requesting to alter the above noted aspect of my cannabis store to the following
Proposed changes comply with security requirements

Alteration Prior to Approval (allowed in exceptional circumstances only

The alteration was undertaken prior to approval because:
Document Checklist

Steps

  • Current Request to Alter a Cannabis Store Application Form
  • DECLARATION
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  • Complete
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