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.
At a glance
- Issued by
- City of Mesa · Mesa, Maricopa County, Arizona
- Notarization
- Not required: file this form without a notary.
- Official source
- mesaaz.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
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.