Documentation of Property Ownership To be completed by the owner of the physical address of the proposed medical marijuana establishment
Name of Individual or Entity Applying for Establishment:
Name of Owner of the Physical Address of the Proposed Establishment:
Physical Address of Proposed Dispensary:
City:
County:
State:
Zip Code:
Legal Description of the Property:
The Individual or entity applying for the establishment is the owner of the physical address of the proposed establishment. OR
The owner of the physical address of the proposed establishment gives permission to the individual or entity applying for an establishment to operate at the physical address.
Property Owner Name
Title
Property Owner Signature
Date Signed
Notary Public SUBSCRIBED AND SWORN TO BEFORE ME THIS
DAY OF
BY
AS THE OWNER/APPLICANT
NOTARY PUBLIC
MY COMMISSION EXPIRES
Planning and Environmental Resources 10 E. Mesquite Blvd., Mesquite, NV 89027 Phone (702) 346-2835, FAX (702) 346-5382, www.mesquitenv.gov
Form - Planning - Medical Marijuana Owner Authorization.pdf ...
Form - Planning - Medical Marijuana Owner Authorization.pdf. Form - Planning - Medical Marijuana Owner Authorization.pdf. Open. Extract. Open with. Sign In.
Phone No Email Fax No. Applicant (if different than Owner). Mailing Address. Phone No Email Fax No. Contact Person/Representative (if different than Owner).
A digital copy of the submittal is required in the following formats: -All site plans must be in AutoCAD Version 14 or higher, DWG format. -All architectural ...
Phone No Email Fax No. Applicant (if different than Owner). Mailing Address. Phone No Email Fax No. Contact Person/Representative (if different than Owner).
Two (2) separate digital copies of the submittal are required in the following formats: -All site plans must be in AutoCAD Version 14 or higher, DWG format.
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