Landlord with Cannabis Exposure
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Entity Name & DBA
Name of Tenant
Type of Tenant
Dispensary
Processor/Edibles
Grower
Other
Square Footage
Monthly Rent
Type of Structure
Masonry
Frame
Masonry Veneer
Metal
Other
Type of Roof
Metal
Comp Shingles
Tile
Shake Shingle
Poly
Tar Build up
Other
Age of Roof
Age of Electrical
Age of Heater
Additional Notes
Submit
Should be Empty: