Medical Marijuana "Caregiver" License Application (Page 3 of 7) in pdf

Medical Marijuana "Caregiver" License Application Page 3

Applicant certifies the following:

The property has a valid certificate of occupancy from the Township of Sumpter.

The property is believed to be more than 1,000 feet from a site where children are regularly

present pursuant to wording contained in Township of Sumpter Ordinance no. 107.

The property is believed to be more than 1,000 feet from a site specified as an adult regulated

use, as defined in Township of Sumpter Zoning Ordinance.

The property is believed to be more than 500 feet from a site at which another caregiver

cultivates marijuana, or assists in the use of marijuana, not including a patients principal

residence.

That the patients for whom marijuana is proposed to be cultivated are not obtaining marijuana

from another source.

Describe and provide detailed specifications of the enclosed locked facility in which any and all

cultivation of marijuana is proposed to occur or where marijuana is stored. The description shall include:

location in building and precise measurements, in feet, of the floor dimensions and height, and the

security device for the facility.

Describe all locations in the premises where the caregiver shall render assistance to a qualifying patient.

Specify the number of patients to be assisted, including the number of patients for whom marijuana is

proposed to be cultivated, and the number of patients to be otherwise assisted on the premises, and

the maximum number of marijuana plants to be grown or cultivated at any one time. At no time shall

the number of marijuana plants exceed twelve per patient.

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Medical Marijuana "Caregiver" License Application Page 3