Clearlake, CA · Lake County

No notary required

Marijuana Cultivation Permit Application

Clearlake residents apply to the Police Department for a permit to cultivate marijuana at a property in the city.

What this form is

Use this application to request a Clearlake marijuana cultivation permit and provide details about the proposed site, property ownership or rental, residence, water source, and number of plants. The form lists eligibility and cultivation requirements, requires supporting documents, and states a $250 application fee. The permit is valid for one year from its issue date.

Who needs it

A person seeking permission to cultivate marijuana at a Clearlake property should complete this application and provide the listed supporting documents.

How to submit it

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

About notarization

The application is signed and dated without notarization; a separate property-owner consent form with a notarized signature is required each year.

How to submit this form

  1. 1

    Download The Application

    Download the Clearlake Marijuana Cultivation Permit Application PDF.

  2. 2

    Complete The Application

    Fill in the proposed cultivation address, site details, applicant and property-owner information, and sign and date the form.

  3. 3

    Gather Required Documents

    Include the listed owner consent, names, photo ID, proof of residence, and site address drawing and description.

  4. 4

    Submit To The City

    Submit the application and supporting documents to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the marijuana cultivation application?
No. The application itself is signed and dated without notarization, but a separate property-owner consent form with a notarized signature is required each year.
How do I submit the marijuana cultivation application?
Submit it to the city department named on the form; check the city website for current contact details.
What documents must accompany the application?
The form lists a property-owner consent form with a notarized signature, names of people connected to the parcel, valid photo ID, proof of residence, and the cultivation site's address with a drawing and detailed description.
How many plants does the permit allow?
The application states that no more than six plants are allowed.

Need something notarized?

This Marijuana Cultivation Permit Application doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.