Hazelwood, MO · St. Louis County
Medical Marijuana Facility Place Holder Application
This application requests City Council consideration to operate a medical marijuana facility in Hazelwood and is filed by an applicant with a legal interest in the property.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The application identifies the site, the applicant’s legal interest, and the proposed facility’s method of operation and type. Hazelwood requires the applicable sections to be complete and consistent with submitted materials, plans, and drawings; the submission checklist calls for two original applications with notarized signatures, supporting property and business documents, and a $25 fee.
Who needs it
An applicant with a legal interest in a Hazelwood property who requests to operate a medical marijuana facility submits this application to the City Council.
Why it needs a notary
The form carries a jurat stating the applicant subscribed and swore to the application before the notary; the applicant signs before the notary.
How to get this notarized
- 1
Download The Application
Get the Medical Marijuana Facility Place Holder Application from the City of Hazelwood.
- 2
Complete The Applicable Sections
Enter the applicant, site, legal-interest, and proposed facility information, ensuring it matches submitted materials, plans, and drawings.
- 3
Gather Required Documents
Prepare the property-interest and business-name documents listed in the submission requirements, along with the $25 fee.
- 4
Book An Online Notary
Arrange an appointment with a commissioned online notary and have the applicant’s signature notarized.
- 5
Sign On Video
Appear for the remote notarization and sign the application before the notary completes the jurat.
- 6
Submit To The City
Submit two original notarized applications and the required supporting materials and fee to the City of Hazelwood.
Preview the form
The blank PDF straight from Hazelwood. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the Hazelwood application?
- Complete the applicable sections, attach the listed supporting documents, include the $25 fee, and submit two original applications with notarized signatures to the City.
- Do I need to sign this application before a notary?
- Yes. The submission checklist requires two original applications with notarized signatures, and the form includes a jurat for the applicant’s sworn signature.
- Can I sign the application with a commissioned online notary?
- Missouri authorizes remote online notarization by its notaries under RSMo §§ 486.1100–486.1205. Ask the City whether it accepts a remotely notarized application; confirm with the city or town if unsure.
- What supporting documents does the form list?
- The checklist requests two copies of a purchase contract, deed, or lease agreement showing legal interest, two copies of applicable Secretary of State certification, and the application fee.
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