Mesa, AZ · Maricopa County
Marijuana Facility Registration Application
Mesa facility applicants use this application to request registration and provide facility, property, and supporting information to the city.
What this form is
This application is for registering a marijuana facility in Mesa and asks applicants to identify the facility type, provide location and property details, and obtain the property owner's signature. Applicants are asked to submit a current state registration certificate, plans and maps, written descriptions, and information addressing zoning and separation requirements along with the application.
Who needs it
A person applying to register a marijuana dispensary, cultivation, infusion, or dual-license facility in Mesa needs this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. Include the listed supporting materials.
About notarization
This application is signed and dated without a notary; the form requires the applicant and property owner to sign, with no notarized attachment or sworn step listed.
How to submit this form
- 1
Download The Application
Download the Marijuana Facility Registration Application.
- 2
Complete The Application
Fill in the facility, address, parcel, applicant, and property owner information, and have the applicant and property owner sign.
- 3
Gather The Supporting Materials
Collect the certificate, written narrative, maps, plans, security-plan acknowledgment, and separation-requirements materials listed on the form.
- 4
Submit To The City
Submit the application with its listed supporting materials to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Marijuana Facility Registration Application?
- Applicants seeking registration for a marijuana dispensary, cultivation, infusion, or dual-license facility in Mesa use this application.
- What should I submit with the application?
- The form lists a current state registration certificate, written narrative, vicinity map, site and floor plans, security-plan acknowledgment, and a table and map addressing separation requirements.
- Do I need a notary for the Marijuana Facility Registration Application?
- No. The applicant and property owner sign the application, and the applicant dates it. The form does not list a notarized attachment or sworn step.
- How do I submit the Marijuana Facility Registration Application?
- Submit it to the city department named on the form; check the city website for current contact details. Include the application and the listed supporting materials.
Need something notarized?
This Marijuana Facility Registration Application doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.