Laserfiche WebLink
Form #1 <br />License Application for Cannabinoids <br />Applicant Personal Information: <br />First Name: <br />Middle Name: <br />Last Name: <br />Date of Birth: <br />Email Address: <br />Street: <br />City: <br />Address of <br />Residence: <br />State: <br />Zip: <br />Driver's License # State of Issue: <br />Day Telephone: Evening Telephone: <br /> I certify that I am 21 years of age or older <br />Applicant is the: <br /> Officer Owner <br />Of: <br />Complete Legal <br />Business Name: <br />Doing Business As Name: <br />Business Phone: <br />Address of Street: <br />Business <br />City:Lexington <br />in <br />State:MN <br />Lexington <br />Zip: <br />Primary Type of Business <br />being conducted at <br />establishment: <br />Location Manager: <br />First Name: <br />Middle Name: <br />Last Name: <br />Email Address: <br />Telephone: <br />Street: <br />City: <br />Address of <br />Residence: <br />State: <br />Zip: <br />Anytime there is a change in the store manager, you are required to inform the City of Lexington of the change <br />within 14 days. It will be necessary for a New Manager Application and a background investigation to be <br />completed in order for your Cannabinoids License to remain valid. <br />If Corporation or Partnership, state: <br /> <br />