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Application Checklist:
Submit a detailed site plan, at least 8½ X 11, but not larger than 11” X 17”. The site plan must include
the following:
o Size and shape of parcel; property dimensions; north arrow
o Adjacent streets; rights-of-way, easements and setbacks; indicate size; purpose and whether
public or private
o Location, size and use of all existing and proposed buildings; show setbacks from property
boundary lines and between structures
o Driveways and parking areas, show access, dimensions and surface material
o Existing and proposed utilities, show location of lines, size and serving company
o Any other information as may be applicable – landscaping, natural features i.e.: washes,
excavation sites, etc.
Submit the “Supporting Information” sheet (if applicable) and/or the “Submittal Checklist” for the
requested action. Forms are in this packet.
Submit a list of all property owners within 1000’ of the subject property boundary showing name,
mailing address and tax parcel numbers. This list must be obtained within the 30 days prior to
application submission.
Submit a map of the area with the 1000’ boundary shown. (A Tax Assessor Parcel Map is acceptable).
Submit the non-refundable filing fee according to the fee schedule shown on page 1 of the application.
(The application is not considered filed until the fees are paid.)
Submit a CD or Jump Drive which contains a copy of the application and narrative in PDF format.
A floor plan showing the location, dimensions and type of security measures demonstrating that the
medical marijuana dispensary will meet the definition of enclosed locked facility contained in
A.R.S.§36-2801(6) and will be conducted completely within an enclosed, locked building.
A copy of the facilities operating procedures adopted in compliance with A.R.S. §36-2804(B)(1)(c).
Hold a neighborhood/community meeting prior to application submittal:
o Notify all property owners within 1200’
o Hold the meeting within 5 miles of the subject property
o Hold the meeting between 5:00pm and 9:00pm
Include neighborhood Public participation information with the application:
o Copy of Notice of Neighborhood/Community Meeting
o List of property owners notified
o Meeting Minutes
o Attendance sign-in sheet with names & addresses
Install Broadcast Notification Sign(s) on the site in conformance with the information shown in this
application.
Please feel free to compile all information into a separate Narrative
Please be aware that earth fissure maps are available online from the Arizona State Geologic Survey.