A. To apply for approval to operate a dispensary, a person holding a dispensary registration certificate shall submit to the Department, at least 60 calendar days before the expiration of the dispensary registration certificate, the following:

1. An application in a Department-provided format that includes:

a. The name and registry identification number of the dispensary;

b. The physical address of the dispensary;

c. The name, address, and date of birth of each dispensary agent;

d. The name and license number of the dispensary’s medical director;

e. If applicable, the physical address of the dispensary’s cultivation site;

f. The dispensary’s Transaction Privilege Tax Number issued by the Arizona Department of Revenue;

g. The dispensary’s proposed hours of operation during which the dispensary plans to be available to dispense medical marijuana to qualifying patients and designated caregivers;

h. Whether the dispensary agrees to allow the Department to submit supplemental requests for information;

i. Whether the dispensary and, if applicable, the dispensary’s cultivation site are ready for an inspection by the Department;

j. If the dispensary and, if applicable, the dispensary’s cultivation site are not ready for an inspection by the Department, the date the dispensary and, if applicable, the dispensary’s cultivation site will be ready for an inspection by the Department;

k. An attestation that the information provided to the Department to apply for approval to operate a dispensary is true and correct; and

l. The signatures of the principal officers of the dispensary according to R9-17-301(A) and the date the principal officers signed;

2. A copy of documentation issued by the local jurisdiction to the dispensary authorizing occupancy of the building as a dispensary and, if applicable, as the dispensary’s cultivation site, such as a certificate of occupancy, a special use permit, or a conditional use permit;

3. A sworn statement signed and dated by the individual or individuals in R9-17-301(A) certifying that the dispensary is in compliance with local zoning restrictions;

4. The distance to the closest private school or public school from:

a. The dispensary; and

b. If applicable, the dispensary’s cultivation site;

5. A site plan drawn to scale of the dispensary location showing streets, property lines, buildings, parking areas, outdoor areas if applicable, fences, security features, fire hydrants if applicable, and access to water mains;

6. A floor plan drawn to scale of the building where the dispensary is located showing the:

a. Layout and dimensions of each room,

b. Name and function of each room,

c. Location of each hand washing sink,

d. Location of each toilet room,

e. Means of egress,

f. Location of each video camera,

g. Location of each panic button, and

h. Location of natural and artificial lighting sources;

7. If applicable, a site plan drawn to scale of the dispensary’s cultivation site showing streets, property lines, buildings, parking areas, outdoor areas if applicable, fences, security features, fire hydrants if applicable, and access to water mains; and

8. If applicable, a floor plan drawn to scale of each building at the dispensary’s cultivation site showing the:

a. Layout and dimensions of each room,

b. Name and function of each room,

c. Location of each hand washing sink,

d. Location of each toilet room,

e. Means of egress,

f. Location of each video camera,

g. Location of each panic button, and

h. Location of natural and artificial lighting sources.

B. A dispensary’s cultivation site may be located anywhere in the state where a cultivation site is allowed by the local jurisdiction.

Effective April 14, 2011.  This was the regulation as of March 19, 2016.  Check the Rules on the Arizona Department of Health Services web site to see if this rule has been changed.