Mesa, AZ · Maricopa County
Marijuana Facility Renewal Application
Mesa uses this application to collect renewal information from marijuana facility applicants, including facility type, site details, applicant information, and property owner authorization.
What this form is
This application is for renewing a marijuana facility registration in Mesa. It asks for the facility type, AZDHS dispensary registration certificate number, property and parcel details, zoning district, and applicant and property owner contact information. The property owner must provide authorization, and the applicant signs and dates an affirmation about the accuracy of the submitted information and the proposed site.
Who needs it
Applicants seeking to renew a Mesa marijuana facility registration should complete the application and obtain the property owner's required authorization.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application does not require notarization; attach a copy of the AZDHS dispensary registration certificate, and the applicant signs and dates the form.
How to submit this form
- 1
Download The Application
Download the Marijuana Facility Renewal Application PDF.
- 2
Complete The Form
Enter the facility, site, applicant, and property owner information requested on the application.
- 3
Gather The Attachment
Include a copy of the AZDHS dispensary registration certificate and obtain the property owner's required authorization.
- 4
Sign And Submit
The applicant signs and dates the affirmation, then submits the application to the city department named on the form.
Frequently asked questions
- What information does the Marijuana Facility Renewal Application request?
- It requests the facility type, AZDHS dispensary registration certificate number, property and parcel information, zoning district, and applicant and property owner contact details.
- Do I need a notary for the Marijuana Facility Renewal Application?
- No. This application does not require notarization. Attach a copy of the AZDHS dispensary registration certificate; the applicant signs and dates the form.
- How do I submit the Marijuana Facility Renewal Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Marijuana Facility Renewal Application doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.