A-375 Application to Vary a Cannabis Retail Licence Condition Download Form PDF Application to Vary a Cannabis Retail Licence Condition Application to Vary a Cannbis Retial Licence Condition Date of Request Cannabis Retailer Licence Holder Contact Information Cannabis Retailer Licence Holder Name Email Phone Address City/Town - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon State/Province ZIP/Postal Code Licence Number Cannabis Retail Licence Condition to be Varied Reason for Variation Request I am requesting to vary the following condition on my Nunavut Cannabis Retail Licence *Provide explanation on the impacts this decision may have on your business as well as any other information you wish to present to support your request. Enclosed Additional Documentation(s) One file only.100 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Enclosed Additional Documentation(s) One file only.100 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Enclosed Additional Documentation(s) I have enclosed additional documentation to support my request to vary a licence condition. I have enclosed the $500 fee to vary a licence condition. Proposed Effective Date Steps Current Application to Vary a Cannabis Retail Licence Condition DECLARATION Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.