HomeMy WebLinkAboutCannabis Regulatory PermitCity of Palm Desert / Department of Community Development
CANNABIS REGULATORY PERMIT
73-510 Fred Waring Drive • Palm Desert • California • 92260 • (760) 346-0611 • Fax (760) 776-6417 Applicant:
___________________________________________________Telephone: ____________________
Mailing Address: ________________________________________Fax number: ____________________ City: _________________________State: _____Zip: _______ Email:
Representative:
__________________________________________________Telephone: ______________________
Mailing Address: ________________________________________Fax number: ____________________ City: _________________________State: _____Zip: _______ Email:
24-Hr Emergency Contact Manager:
Primary Telephone: Email:
Secondary Telephone:
Community Relations Manager:
Primary Telephone: Fax Number:
Email Address: Email:
Type of Business Entity (as described in Section 5.101.D.1):
Type of Cannabis Business (Dispensary, Cultivation, etc...):
Type of State License obtained/pursuing: Project Address(s):________________________________________________________________________________ Assessor Parcel Number(s): ________________________________________________________________________
Zoning Designation: _______________________________General Plan Designation: ____________________________ Property Owner Authorization: The undersigned states that they are the owner(s) of the property described and
herein give authorization for the filing of the application.
Signature Print Name Date
Applicant / Representative Signature: By signing this application I certify that the information provided is accurate. I
understand that the City might not approve what I am applying for and/or might require conditions of approval.
Signature Print Name Date
OFFICE USE ONLY
Permit submitted with CUP_______________________
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I. PURPOSE:
In coordination with review of a Conditional Use Permit application, and as a continued requisite to
operate a commercial cannabis business, all cannabis business operators are required to apply
annually for the Cannabis Regulatory Permit. This permit will be issued to the applicant of the
cannabis business only, and is required to remain valid during business operations. Any lapse in
activity of the permit will result in revocation of the permit and cessation of the cannabis business.
II. SUBMITTAL REQUIREMENTS:
1. Regulatory Permit Form completed with required signatures.
2. Required documents, exhibits and plans as described in P.D.M.C Chapter 5.101 and below.
III. PROCEDURE:
Initially, a Cannabis Regulatory Permit must be applied for along with the Conditional Use Permit (CUP)
application for all commercial cannabis businesses. Once a CUP is approved by the City’s Planning
Commission, the Business License Division of the Community Development Department will issue a
Cannabis Regulatory Permit. The permit is issued to the business owner or operator only. Any changes
in the business’s ownership will require a new or amended Cannabis Regulatory Permit. In addition, a
Cannabis Regulatory Permit is valid for one (1) year and must be applied for annually along with a
Business License.
IV. APPLICATION CHECKLIST:
Applicants are required to provide the following information when applying for a Cannabis Regulatory Permit:
1. A description of the statutory entity or business form that will serve as the legal structure for the applicant
and a copy of its formation and organizing documents, including, but not limited to, articles of incorporation,
certificate of amendment, statement of information, articles of association, bylaws, partnership agreement
operating agreement, and fictitious business name statement.
2. A legible copy of each applicant’s photo identification, such as a state driver’s license, a passport issued by
the United States, or a permanent resident card.
3. A list of the license or permit types (including license or permit numbers) held by the applicant that involve
the operation of a commercial cannabis business, including the date the license or permit was issued and
the jurisdiction or State license authority that issued the license or permit.
4. Whether the applicant has been denied a license or permit by the City, any other jurisdiction, and/or the
State that involves the operation of a commercial cannabis business. The applicant shall provide a
description of the license or permit applied for, the name of the jurisdiction or State license authority that
reviewed the license or permit application, and the date of denial.
5. The proposed commercial cannabis business’s physical address, telephone number, website address, and
e-mail address.
6. A list of every fictitious business name the applicant is operating under including the address where the
business is located.
7. Financial information including the following:
a. A list of funds belonging to the commercial cannabis business held in savings, checking, or other
accounts maintained by a financial institution. The applicant shall provide for each account, the
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financial institution’s name, the financial institution’s address, account type, account number, and
the amount of money in the account.
b. A list of loans made to the commercial cannabis business. For each loan, the applicant shall provide
the amount of the loan, the date of the loan, term(s) of the loan, security provided for the loan, and
the name, address, and phone number of the lender.
c. A list of investments made into the commercial cannabis business. For each investment, the
applicant shall provide the amount of the investment, the date of the investment, term(s) of the
investment, and the name, address, and phone number of the investor.
d. A list of all gifts of any kind given to the applicant for its use in conducting commercial cannabis
business. For each gift the applicant shall provide the value of the gift or description of the gift, and
the name, address, and phone number of the provider of the gift.
8. A list of each applicant’s misdemeanor and felony convictions, if any. For each conviction, the list must set
forth the date of arrest, the offense charged, the offense convicted, the jurisdiction of the court, and whether
the conviction was by verdict, plea of guilty, or plea of nolo contendre.
9. A complete and detailed diagram of the proposed premises showing the boundaries of the property and the
proposed premises to be permitted, showing all boundaries, dimensions, entrances and exits, interior
partitions, walls, rooms, windows, doorways, and common or shared entryways, storage areas and exterior
lighting. The diagram must show the areas in which all commercial cannabis business will take place,
including but not limited to, limited-access areas.
10. A security plan, as a separate document, outlining the proposed security arrangements to deter and prevent
unauthorized entrance into limited access areas and theft of cannabis, in accordance with minimum security
measures required by state law and measures identified in Section 5.101M.5 of the Palm Desert Municipal
Code. The security plan shall be reviewed by the Palm Desert Police Department and the City Manager
and shall be exempt from disclosure as a public record pursuant to Government Code Section 6255(a).
11. A comprehensive business operations plan that includes the following:
a. Business plan. A plan describing how the commercial cannabis business will operate in accordance
with this code, state law, and other applicable regulations. The plan shall include operational,
banking, and personnel procedures to ensure adequate business knowledge, modeling and
support.
b. Community relations plan. A plan describing who is designated as being responsible for outreach
and communication with the surrounding community, including the neighborhood and businesses,
and how the designee can be contacted.
d. Neighborhood responsibility plan. A plan addressing any adverse impacts of the proposed
commercial cannabis business on the surrounding area.
e. Odor control plan. A plan identifying odor control methods, including, but not limited to, use of odor
absorbing ventilation and exhaust systems, negative air pressure, and other treatments.
f. Insurance. The applicant’s certificate of commercial general liability insurance and endorsements
and certificates of all other insurance related to the operation of the commercial cannabis business.
f. Budget. A copy of the applicant’s most recent annual budget for operations.
12. The name and address of the owner and lessor of the real property upon which the commercial cannabis
business is to be operated. In the event the applicant is not the legal owner of the property, the application must
be accompanied with a notarized acknowledgement from the owner of the property that a commercial cannabis
business will be operated on his or her property.
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13. Authorization for the city manager to seek verification of the information contained within the application.
14. A statement in writing by the applicant that he or she certifies under penalty of perjury that all the information
contained in the application is true and correct.
15. A full and complete copy of the applicant’s most current application submitted to and approved by the applicable
State licensing authority (only applicable on a renewal basis).
16. The name, address, telephone number, title, and function of each of the interested parties described below:
a. A permittee shall provide the city with names and addresses of all of the following interested parties:
i. Persons with at least a 10% interest in the commercial cannabis business;
ii. Partners, officers, directors, and stockholders of every corporation, limited liability company, or
general or limited partnership that owns at least 10% of the stock, capital, profits, voting rights, or
membership interest of the commercial cannabis business or that is one of the partners in the
commercial cannabis business;
iii. The managers of the commercial cannabis business; and the staff of the commercial cannabis
business.
b. All interested parties, as described in the subsections listed above, must submit to fingerprinting and a
criminal background check by the city.
c. No person shall be an interested party, as described in subsection A of this Chapter 5.101 of the
P.D.M.C., if he or she is charged with or convicted of a felony; has been charged with or convicted of a
violation of California Penal Code section 186.22 (participation in a criminal street gang); or is currently
on parole or probation for an offense relating to the sale or distribution of a controlled substance.
“Convicted” within the meaning of this section means a plea or verdict of guilty or a conviction following a
plea of nolo contendere was entered, but does not include any plea, verdict, or conviction that is
expunged pursuant to California law or a similar federal or state law where the expungement was
granted. “Charged” within the meaning of this section means (1) an indictment was issued by a grand
jury, or an information, complaint, or similar pleading was issued by the United States Attorney, district
attorney, city attorney, or other governmental official or agency authorized to prosecute crimes, and (2)
the criminal proceedings are currently pending.
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OWNER AND/OR OWNER'S AUTHORIZED AGENT
AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF RIVERSIDE )
CITY OF PALM DESERT )
I, (we), ___________________________________ being duly sworn
depose and declare to the best of _______________ knowledge that the
(my/our)
foregoing is true and correct under the penalty of perjury:
EXECUTED AT: ___________________________________________________
(CITY) (STATE)
DATE: ____________________________________________________________
(MONTH) (DAY) (YEAR)
APPLICANT, OWNER AND/OR OW NER'S AUTHORIZED AGENT:
______________________________
(Print Name)
______________________________
(Signature)
______________________________
(Mailing Address)
______________________________
(City, State and Zip)
______________________________
(Area Code) Telephone Number