Edibles Kitchen Permit Application

Licensee Information

Name of Licensee

Legal Name *

Trade Name (D/B/A) (Put N/A if Not Applicable) *

MCA License #

Point of Contact

Point of Contact Name

Point of Contact Email Address

Point of Contact Phone Number

Documentation

Upload a copy of State/City/County Fire Marshal Permit Approval(s) for Completion of Construction

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Upload the Certificate of Occupancy (if applicable)

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Standard Operating Procedures

Upload Applicable Standard Operating Procedures (SOPs)

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Sign Here

First Name

Last Name

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Draw Type

I hereby confirm the following: I am a representative of the named Licensee and I am authorized to submit this Edibles Kitchen Permit Application to the Maryland Cannabis Administration.