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• <br />T <br />OFFICE OF CANNABIS MANAGEMENT <br />Retail Registration Form and Checklist <br />Local Unit of Government: <br />Business Name: <br />Business Address: <br />Minnesota Cannabis Business License Number: <br />Initial <br />Registration Period <br />Renewal <br />• Cannabis Microbusiness ($0.00) 0 Cannabis Microbusiness ($1000.00) <br />• Cannabis Mezzobusiness ($500.00) 0 Cannabis Mezzobusiness ($1000.00) <br />Cannabis Retailer ($500.00) 0 Cannabis Retailer ($1000.00) <br />Is Applicant Current on All Property Tax and Assessments at Retail Location: <br />Yes ON° <br />Preliminary Local Ordinance Compliance: <br />Notes: <br />Pass ( Fail <br />The above named applicant having paid the appropriate fees, being current on all <br />applicable tax obligations, and having passed a preliminary compliance review, is <br />authorized to engage in retail cannabis sales in the above named jurisdiction. <br />Approved By: <br />Title: <br />Date: <br />