St. Louis allows state-licensed medical and adult-use (comprehensive) dispensaries in designated zoning districts subject to a 1,000-foot buffer from schools, daycares, and churches. Local operators must hold DHSS licenses and obtain City of St. Louis business licenses and occupancy permits.
Under Missouri Amendment 3 and implementing regulations at 19 CSR 100-1, cannabis facilities (cultivation, manufacturing, testing, microbusiness, comprehensive dispensary) are licensed by DHSS. Local governments may reasonably regulate time, place, and manner, including zoning and operating-hour rules, and may reduce but not exceed the 1,000-foot buffer from schools, daycares, and churches. St. Louis has adopted zoning provisions in the city code allowing dispensaries in specified commercial and mixed-use districts with a Conditional Use Permit. Operators need a DHSS license, a City of St. Louis business license, an occupancy permit, and must meet security, odor, and signage standards. Consumption on premises generally remains prohibited. Adult-use sales have been underway statewide since early 2023.
Operating without DHSS license and city permits can trigger state license revocation and municipal fines. Zoning violations run fines per day until corrected plus conditional-use revocation.
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