2. 

3. Marihuana Business Permit Renewal Application

   (City Codified Ordinance - Chapter 11)

   https://library.municode.com/mi/taylor/codes/code_of_ordinances?nodeId=PTIICOOR_CH11MACOBU_ARTIILIMABU

5. Permit renewal applications must be filed no sooner than 120 days and no later than 75 days prior to the date of expiration. The application will not be reviewed until the $5,000 non-refundable application fee, per permit, is paid to the Clerk's Office.
7. Before completing the application, verify the following:
   • The permitted facility is not in default to the City for any property tax, special assessment, utility charges, fines, fees or other financial obligation owed to the City. 
   • The hiring and public accommodation practices of the permitted facility conforms to the City’s anti-discrimination ordinance provisions. 
   • The premises and its systems are in compliance with the requirements of Chapter 11 of the City of Taylor Code of Ordinances. 
   • You have a copy of the approved State Operating License to ready upload
9. Business Information
11. Official Business Name (entity licensed by the state)*
13. Business Address*
14. City*
15. State*
16. Zip Code*
18. Business Phone Number*
19. Business Phone Number*
23. Business Owner Information
25. Business Owner Full Name*
27. Business Owner Phone Number*
28. Business Owner Email Address*
30. Residence Address*
31. City*
32. State*
33. Zip Code*
35. Is the applicant (person signing the application and primary point of contact) someone other than the owner? *
    -- Select One --Yes, the person completing the application is not the ownerNo, the person completing the application is the owner
39. Applicant Full Name*
40. Relationship to Business (ex. owner, partner, manager, etc.)*
42. Applicant Phone Number*
43. Applicant Email Address*
45. Residence Address*
46. City*
47. State*
48. Zip Code*
52. Type of Permit for Requested Renewal
54. Medical
56. Grower*

    1. Class A (500 plants)
    2. Class B (1,000 plants)
    3. Class C (1,500 plants)

    1. Processor
    2. Safety Compliance
    3. Provisioning Center

    1. Secure Transporter
    2. N/A
58. No. of Class C Permits*
60. Adult Use
62. Grower*

    1. Class A (100 plants)
    2. Class B (500 plants)
    3. Class C (2,000 plants)

    1. Excess Grower
    2. Processor
    3. Safety Compliance

    1. Retailer
    2. Secure Transporter
    3. N/A
64. No. of Class C Permits*
68. Facility Information
70. Advertised Facility Name*
71. Property Zoning District*
    -- Select One --I1- Light Industrial I2- General Industrial
73. Property Address*
74. Real Property Parcel Number*
76. Manager - Full Name*
77. Manager - Phone Number*
79. Manager - Email Address*
83. State Operating License

    Please upload a copy of the State approved operating license for this facility

85. Please certify the following:*

    1. The permitted facility is not in default to the City of Taylor for any property tax, special assessment, utility charges, fines, fees or other financial obligation owned to the City of Taylor.
    2. The hiring and public accommodation practices of the permitted facility conforms to the City's anti-discrimination ordinance provisions.
    3. I consent to an inspection of the permitted premises as required by ordinance to ensure the premises and its systems are in compliance with the requirements of Chapter 11 of the City of Taylor Code of Ordinances.
    4. I understand that renewal of a City Operating Permit is contingent on the renewal of the State Operating License for this facility.
87. 1. I hereby certify under the penalty of perjury that the statements made in this application, including all attachments thereto, are true. I further certify that I am an officer, director, or managerial employee of the applicant or a person who holds a direct or indirect ownership interest in the applicant.
89. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. Please review the City's website privacy policy.

    1. I agree.
91. Electronic Signature*
92. Position*
Leave This Blank:


94. 1. Receive an email copy of this form.
95. Email address

    This field is not part of the form submission.

96. Submit Submit and Print

* indicates a required field