Survey MUST BE COMPLETED BEFORE November 21st to avoid non-compliance revocation action.
 
Please complete each question and upload requested documents.
Your cooperation is greatly appreciated. 
 
-Cannabis Compliance Department

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* 1. What category does your cannabis related operation(s) fall under? (check all that apply)

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* 2. In an effort to ascertain the needs to operate your business, please indicate the current status of  electrical power at your facility.  (example: has Edison provided the electricity you need to operate at maximum potential?)

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* 3. Have you been visited by code enforcement or Adelanto cannabis compliance personnel within the last 12 months?

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* 4. If yes, who were you visited by? If more than one, please select most recent. 

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* 5. Does your business have an active business license?

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* 6. Please upload a copy of your business license.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 7. Does your business have an active Adelanto cannabis permit(s)? (NOTE: This is not your Certificate of Occupancy)

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* 8. Please upload a copy of your Adelanto cannabis permit(s).

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 9. ATTENTION: If you have multiple Cannabis Business Licenses or Permits, please use this space to upload additional copies. If you need additional upload space, please email those documents directly to jleiws@ci.adelanto.ca.us

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 10. Does your business have an active Certificate of Occupancy?

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* 11. Is your Certificate of Occupancy Temporary or Permanent?

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* 12. Please upload a copy(s) of your Certificate of Occupancy.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 13. Have you recieved a copy of your State of California issued Cannabis License?

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* 14. Please upload a copy of your State of California issued cannabis license.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 15. Is your business up to date with filing its monthly excise taxes? Reminder: Taxes are due on the 15th of each month, reflecting gross receipts (MFG, DIST, DISP) or canopy space utilized for the previous month. Excise taxes are to be reported on all cannabis related activities within the City of Adelanto, including special events.

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* 16. YOU CAN EMAIL JLEWIS@CI.ADELANTO.CA.US OR CALL WITH THIS INFORMATION IF YOU WISH------Per AMC 17.80.080, subd. (d)(1)(X)(1) for cultivation, 17.80.090, subd. (d)(1)(W)(1) for manufacturing, and 17.80.100, subd. (d)(1)(W)(1) for distribution, "Remote log-in information shall be provided to the City Manager and the Chief of Police to allow them to view the security camera images and recordings from their own facilities at any time. Any disruption in security camera images shall be cured expeditiously in good faith.” PLEASE PROVIDE ALL REMOTE LOG-IN INFORMATION FOR YOUR SECURITY CAMERAS AT YOUR FACILITY. 

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* 17. Please provide the best contact name and address for this business business for which all business matters should be discussed:

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* 18. Please provide your mailing address if different than the business address provided above.

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* 19. Please provide three dates and times (Monday-Thursday 8am-4pm) prior to December 19, 2019  to come to City Hall for a compliance meeting to discuss the contents of this questionnaire and receive important information regarding cannabis operations in the City of Adelanto.

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* 20. By typing my name, I agree that I understand the contents of this survey and my requirement to attend a compliance meeting before December 19, 2019.

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* 21. Cannabis Operator Comment Box: please share with us any comments, questions or concerns you might have. This is your opportunity to provide feedback to our cannabis compliance team. We thank you for your time in completing this survey.

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