Addendum with retail and medical box
Cannabis License Addendum
This form must be submitted with a Business License Application from Business Licensing Services.
Failure to answer all questions and submit payment will result in a delay of your application and your application may not be processed
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|1. |Mark the license type you are requesting (application fees are non-refundable): |
| | Cannabis Transportation | $250 | Cannabis Research |$250 |
| Social Equity Cannabis Retailer $250 |
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|Medical Cannabis |
|(must also select the Social Equity Cannabis Retailer) |
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|2. |Are you taking over a business that has a current WSLCB Cannabis license?.................... | YES NO |
| |If yes, list the current licensee’s Cannabis license number: | |
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|3. |Primary contact person for questions regarding this application: | |
| |Phone number: | |
| |E-mail address: | |
| |Secondary contact person for questions regarding this application: | |
| |Phone number: | |
| |E-mail address: | |
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|General application questions? Please call Business Licensing Services at 360-705-6741. |
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