Medical Marijuana "Caregiver" License Application (Page 5 of 7) in pdf

Medical Marijuana "Caregiver" License Application Page 5

Applicant certifies that they understand and will abide by the following:

(cont.)

Initial each

The distribution of medical marijuana shall only occur in the license premises or in the home of

a qualifying patient.

The distribution of medical marijuana shall only occur between the hours of 7:00a.m. and

9:00p.m. There shall be no distribution of medical marijuana between the hours of 9:00p.m.

and 7:00a.m.

The amount of marijuana distributed to a qualifying patient shall not exceed 2.5 ounces as

permitted by the Act. The weight shall be determined at the time of distribution without

regard for the inclusion of stems, seeds, etc.

All licenses must be renewed on an annual basis.

A copy of Sumpter Township Ordinance No. 107 has been obtained from the Sumpter

Township Clerk’s Office and all actions by the applicant shall conform to said ordinance.

If approved, all use of property shall be in accordance with an approved application, including

all information and specifications submitted by the applicant in reliance on which the

application shall be deemed to have been approved.

Applicant must provide proof of the following as attachments to this application:

Attachment A - Provide a state of federal or state issued photo identification.

Attachment B - Provide proof of property ownership or copy of the lease.

Attachment C - If premises is leased, attach notarized written permission from the property

owner for the use specified in this application.

Attachment D - Provide proof that the applicant caregiver has been legally registered by the

Michigan Department of Community Health (MDCH) in accordance with the Michigan Medical

Marijuana Act, as amended.

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Medical Marijuana "Caregiver" License Application Page 5