Rio Dell, CA · Humboldt County

No notary required

Cannabis Hold Harmless Indemnification Agreement

This agreement is for an applicant seeking a conditional use permit for commercial medical marijuana activity on property in Rio Dell.

What this form is

The agreement sets out the applicant’s defense and indemnification obligations to the City of Rio Dell in connection with its review or approval of a project for commercial cultivation, distribution, or manufacture of medical marijuana. It is associated with an application for a conditional use permit and asks for the agreement date, applicant and property details, and applicant signatures and printed names.

Who needs it

An applicant seeking a conditional use permit for commercial medical marijuana activity on property in Rio Dell needs to review and sign this agreement.

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 agreement is signed without a notary; the applicant signs and dates it, and no notarized or sworn attachment is identified.

How to submit this form

  1. 1

    Download The Agreement

    Download the Cannabis Hold Harmless Indemnification Agreement PDF.

  2. 2

    Complete The Agreement

    Enter the agreement date, applicant name, and property assessor parcel number, then review the terms.

  3. 3

    Sign And Date

    The applicant signs and dates the agreement and prints their name in the spaces provided.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Cannabis Hold Harmless Indemnification Agreement?
It is an agreement between the City of Rio Dell and an applicant for a conditional use permit for commercial medical marijuana activity. It states the applicant’s indemnification obligations related to the project.
Who signs this agreement?
The applicant signs and dates the agreement. It includes spaces for the applicant’s printed name and signature, with additional signature lines.
Do I need a notary for this agreement?
No. This agreement is signed without a notary; the applicant signs and dates it, and no notarized or sworn attachment is identified.
How do I submit this agreement?
The document does not provide submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Cannabis Hold Harmless Indemnification Agreement doesn’t need a notary — but if you have another Rio Dell form that does, a commissioned online notary can help.