HomeMy WebLinkAbout20130303.tiffSTATE OF COLORADO
Colorado Department of Revenue
Medical Marijuana Enforcement Division
RECFIvEl
Memo
•s'EL.L? CO;. irr.i
TO: Weld County Clerk & Recorder
Steve Moreno
1402 N. 17'" Avenue
Greeley, CO 80631
Weld County Sheriff's Office
Sheriff John Cooke
PO Box 758
Greeley, CO 80632
FROM: Laura K. Harris, Director
Department of Revenue
Medical Marijuana Enforcement Division
DATE: January 16, 2013
455 Sherman St., Suite 390
Denver, CO 80203
Main: 303.205.8421
RE: Withdrawal of Application(s) for State Medical Marijuana Licensure.
TO THE ABOVE -NAMED LOCAL AUTHORITIES:
The Colorado Department of Revenue, State Licensing Authority, Medical Marijuana
Enforcement Division ("Division") has received and approved a written request for voluntary
withdrawal of state medical marijuana application(s) from consideration by the State Licensing
Authority for state licensure under the Colorado Medical Marijuana Code ("the Code"), sections
12-43.3-101 et seq., C.R.S. A copy of the approval is attached for your convenient reference.
Please take notice, the business and/or individual request for withdrawal has been approved
by the Division. The business and/or individual has been advised that the approval for
withdrawal of the application(s) removes any protections that may have been argued and was
previously afforded under the Code for the purpose of cultivation, manufacture, distribution, or
sale of medical marijuana or medical marijuana -infused products. Additionally, the opportunity
to surrender any medical marijuana plants and/or products in possession of the business and/or
individual to the Division for destruction has been provided to the business and/or individual
whose application has been withdrawn. The business and/or individual has represented that
there are no medical marijuana plants and/or products to be surrendered.
Should you have any questions in this regard, please do not hesitate to contact the Division at
(303) 205-8421.
2013-0303
MCI..Rica I r' rc VVLVIY I Mr[T VVI I Y1U1[HVVHL yr M rLI.r41 I I'Jtr
►4 VUZ7S.T
Warning: This is a request to stop the application process and withdraw your application(s) to become licensed pursuant to article
43.3 of title 12, C.R.S , as a key associated. medical marijuana center, optional premises cultivation operation andior medical
marijuana .infused products manufacturer licensee. If this request is to withdraw a business license, then all key associated license
applications connected to the business license application(s) will also be withdrawn. If withdrawal is approved, all rights attached to
the application(s), including rights of reconsideration. hearing. and appeal will be given up. You must then reapply if you want a
license at any time in the future. The Director of the Medical Marijuana Enforcement Division ("MMED"), in his discretion. may deny
this request to withdraw and refer the matter directly to the State Licensing Authority for further consideration, or grant the request in
the due course of administrative matters. Any application or other fee(s) paid by you will not be refunded.
Withdrawal of your application(s) from consideration by the State Licensing Authority will be reported to local authorities. Based
upon withdrawal of your application(s). you shall immediately CEASE all commercial business operations for the cultivation,
manufacture, distribution, or sale of medical marijuana of medical marijuana -infused products. In Colorado, anyone engaging in the
business of cultivating, possessing, selling, and/or offering to sell medical marijuana must be duly licensed or a validly registered
caregiver or patient. Any continued commercial business cultivation, manufacture, distribution, or sale of medical marijuana or
medical marijuana -infused products is a direct violation of the Colorado Medical Marijuana Code, sections 12-43.3-101 et seq.,
C.R.S.. which can result in criminal charges or other punishment under federal. stale and/or local law. Any and all medical
marijuana plants, products andior materials in your possession must be surrendered to the Medical Marijuana Enforcement Division
for destruction unless possessed by a validly registered caregiver or patient and within the limits provided by the state constitution.
Applicant Name: /
Address: �An pP"._ ( F �I t �� ` '^ )J' (- Phone:
tOC-
77, _ j S
l wish to withdraw the following license application(s) from the application process.
Q Associated Key/Person
❑,Medical Marijuana Center
ptional Premises Cultivation Operation'03. (c 9(
❑ Medical Marijuana -Infused Products Manufacturer
`�
I hereby request the withdrawal of my application(s) identified above. I understand (1) that this request may not be
cancelled after it has been submitted, (2) that the application(s) withdrawn and all related materials will remain a part of
the records of the State Licensing Authority, (3) that all commercial business operations for the cultivation,
manufacture, distribution, or sale of medical marijuana or medical marijuana -infused products must immediately cease
or stop, (4) that any and all medical marijuana plants, products and/or materials in possession of the business must be
surrendered to the Medical Marijuana Enforcement Division for destruction, and (5) that there will not be a refund of
any application or other fees that have been paid.
I hereby further certify that I do / do no j!C1rCie one) have medical marijuana plants and/or products in my
possession to surrender for destruc n
SIGN HERE:
PRINT:
Date:
°
Title: - 1111,9.4).1921'.1)e
J
•
h.i2s
• 4c! : ca
IApplicant's request for withdrawal of the
application(s) indicated above is hereby approved.
e of Medical Mari) -
K /11
❑ Applicant's request for withdrawal of the application(s)
indicated above is hereby denied and referred to the State
Licensing Authority for further consideration because
REQUEST FOR VOLUNTARY WITHDRAWAL OF APPLICATION
Warning: This is a request to stop the application process and withdraw your application(s) to become licensed pursuant to article
43.3 of title 12, C.R.S., as a key associated, medical marijuana center, optional premises cultivation operation and/or medical
marijuana -infused products manufacturer licensee. If this request is to withdraw a business license, then all key associated license
applications connected to the business license application(s) will also be withdrawn If withdrawal is approved. all rights attached to
the application(s), including rights of reconsideration, hearing, and appeal will be given up. You must then reapply if you want a
license at any time in the future. The Director of the Medical Marijuana Enforcement Division ("MMED"), in his discretion, may deny
this request to withdraw and refer the matter directly to the Stale Licensing Authority for further consideration, or grant the request in
the due course of administrative matters. Any application or other fee(s) paid by you will not be refunded.
Withdrawal of your application(s) from consideration by the State Licensing Authority will be reported to local authorities. Based
upon withdrawal of your application(s), you shall immediately CEASE all commercial business operations for the cultivation,
manufacture, distribution, or sale of medical marijuana or medical marijuana -infused products. In Colorado, anyone engaging in the
business of cultivating, possessing, selling, and/or offering to sell medical marijuana must be duly licensed or a validly registered
caregiver or patient. Any continued commercial business cultivation, manufacture, distribution, or sale of medical marijuana or
medical marijuana -infused products is a direct violation of the Colorado Medical Marijuana Code, sections 12-43.3-101 et seq.,
C.R.S., which can result in criminal charges or other punishment under federal, state and/or local law. Any and all medical
marijuana plants. products and/or materials in your possession must be surrendered to the Medical Marijuana Enforcement Division
for destruction unless possessed by a validly registered caregiver or patient and within the limits provided by the state constitution.
Applicant Name: LEON K CISNERO
Address: 1 yt,o 41ZA-p r 4-•
Phone: -7LC) •2-7I
! wish to withdraw the following license application(s) from the application process:
2) Associated Key/Person M01754
❑ Medical Marijuana Center
❑ Optional Premises Cultivation Operation
❑ Medical Marijuana -Infused Products Manufacturer
q •.°.lt .. c*'r s Yo
I hereby request the withdrawal of my application(s) identified above. I understand (1) that this request may not be
cancelled after it has been submitted, (2) that the application(s) withdrawn and all related materials will remain a part of
the records of the State Licensing Authority, (3) that all commercial business operations for the cultivation,
manufacture, distribution, or sale of medical marijuana or medical marijuana -infused products must immediately cease
or stop, (4) that any and all medical marijuana plants, products andfor materials in possession of the business must be
surrendered to the Medical Marijuana Enforcement Division for destruction, and (5) that there will not be a refund of
any application or other fees that have been paid.
I hereby further certify that I do
possession to surrender r destr
SIGN HERE:
PRINT: 1 '
(circle one) have medical marijuana plants and/or products in my
4.1
pplicanf's request for withdrawal of the
application(s) indicated above is hereby approved.
Date: ,_.,, 3/Z--
MrtN ?
rArtnn
❑ Applicant's request for withdrawal of the application(s)
indicated above is hereby denied and referred to the State
Licensing Authority for further consideration because —
REQUEST FOR VOLUNTARY WITHDRAWAL OF APPLICATION
- IMPORTANT NOTICE -
Warning: This is a request to stop the application process and withdraw your applications) to become licensed pursuant to article
43.3 of title 12, C.R.S., as a key associated, medical marijuana center, optional premises cultivation operation and/or medical
marijuana -infused products manufacturer licensee. If this request is to withdraw a business license, then all Key associated license
applications connected to the business license application(s) will also be withdrawn. If withdrawal is approved, all rights attached to
the application(s), including rights of reconsideration, hearing, and appeal will be given up. You must then reapply if you want a
license at any time in the future. The Director of the Medical Marijuana Enforcement Division rMMED'), in his discretion, may deny
this request to withdraw and refer the matter directly to the State Licensing Authority for further consideration, or grant the request in
the due course of administrative matters. Any application or other fee(s) paid by you will not be refunded.
Withdrawal of your application(s) from consideration by the State Licensing Authority will be reported to local authorities. Based
upon withdrawal of your application(s), you shall immediately CEASE all commercial business operations for the cultivation,
manufacture, distribution, or sale of medical marijuana or medical marijuana -infused products. In Colorado, anyone engaging in the
business of cultivating, possessing, selling, and/or offering to sell medical marijuana must be duly licensed or a validly registered
caregiver or patient. Any continued commercial business cultivation, manufacture, distribution, or sale of medical marijuana or
medical marijuana -infused products is a direct violation of the Colorado Medical Marijuana Code, sections 1243.3-101 of seq.,
C.R.S., which can result in criminal charges or other punishment under federal, state and/or local law. Any and all medical
marijuana plants, products and/or materials in your possession must be surrendered to the Medical Marijuana Enforcement Division
for destruction unless possessed by a validly registered caregiver or patient and within the limits provided by the state constitution.
- Analicant Information -
Applicant Name: Cannabis Care Wellness Center, LLC
Address. a5ys'- 7$ Au`G p_ Grid? t2CN (74 / I C trl! Ptir'she.:a 7 :'5`t :-- 13.3 7.
• Withdrawal Details -
I wish to withdraw the following license application(s) from the application process:
❑ Associated Key/Person
❑ Medical Marijuana Center
❑ Optional Premises Cultivation Operation
® Medical Marijuana -Infused Products Manufacturer 404-00174
Anolicant's Declaration and Sianature
-
It
ie
MAY 16 201:,
I hereby request the withdrawal of my application(s) identified above. I understand (1) that this request may not be
cancelled after it has been submitted, (2) that the application(s) withdrawn and all related materials will remain a part of
the records of the State Licensing Authority, (3) that all commercial business operations for the cultivation,
manufacture, distribution, or sale of medical marijuana or medical marijuana -infused products must immediately cease
or stop, (4) that any and all medical marijuana plants, products and/or materials in possession of the business must be
surrendered to the Medical Marijuana Enforcement Division for destruction, and (5) that there will not be a refund of
any application or other fees that have been paid.
I hereby further certify that I do / do no (circle one) have medical marijuana plants and/or products in my
possession to surrender for destru ion
SIGN HERE.
PRINT.
Applicants request for withdrawal of the
application(s) indicated above is hereby approved.
❑ Applicant's request for withdrawal
indicated above is hereby denied
Licensing Authority for further consideration
of the application(s)
and referred to the State
because
_
Si atu Medical -En r ment Division:
Title:
Director
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