Do I need a notary for the Cannabis Appeal Form?

No. The form calls for the appellant's signature and date, not notarization. Attach the decision notice and any relevant documents or evidence.

How do I submit the Cannabis Appeal Form?

File the signed appeal with the City Clerk at 18747 Clarkdale Avenue, Artesia, CA 90701. The form says to file within ten calendar days of the notice or decision.

Who can appeal a cannabis permit decision?

The form and included code excerpt state that an applicant or permittee may appeal a decision to deny, suspend, revoke, or impose conditions on a permit.

What should I include with the appeal?

Include a copy of the decision notice, specific reasons and grounds for the appeal, and all documents or other evidence you want the hearing officer to consider.

Artesia, CA · Los Angeles County

No notary required

Cannabis Appeal Form

Applicants or permittees use this form to appeal a City decision to deny, suspend, revoke, or condition a cannabis business permit.

What this form is

Use this form to appeal a City decision to deny, suspend, revoke, or impose conditions on a cannabis business permit. File a signed written appeal with the City Clerk within ten calendar days of the notice or decision. The form asks for appellant and project details, appeal grounds, a copy of the decision notice, and supporting documents or evidence; the listed appeal fee is $7,106.28.

Who needs it

An applicant or permittee seeking to appeal a City decision about a cannabis business permit needs to complete and file this form.

How to submit it

File the signed appeal with the City Clerk at 18747 Clarkdale Avenue, Artesia, CA 90701, within ten calendar days of the notice or decision. The form lists an appeal fee of $7,106.28.

About notarization

This form is signed and dated without a notary; attach the decision notice and any documents or evidence you want considered at the hearing.

How to submit this form

1
Download The Form
Download the Cannabis Appeal Form PDF.
2
Complete And Sign
Enter your contact and project details, identify your capacity, explain the appeal grounds, and sign and date the form.
3
Gather Attachments
Attach a copy of the decision notice and any documents or evidence you want considered at the hearing.
4
Submit To The City
File the appeal with the City Clerk within ten calendar days of the notice or decision and pay the listed appeal fee.

Frequently asked questions

Do I need a notary for the Cannabis Appeal Form?: No. The form calls for the appellant's signature and date, not notarization. Attach the decision notice and any relevant documents or evidence.
How do I submit the Cannabis Appeal Form?: File the signed appeal with the City Clerk at 18747 Clarkdale Avenue, Artesia, CA 90701. The form says to file within ten calendar days of the notice or decision.
Who can appeal a cannabis permit decision?: The form and included code excerpt state that an applicant or permittee may appeal a decision to deny, suspend, revoke, or impose conditions on a permit.
What should I include with the appeal?: Include a copy of the decision notice, specific reasons and grounds for the appeal, and all documents or other evidence you want the hearing officer to consider.

Need something notarized?

This Cannabis Appeal Form doesn’t need a notary — but if you have another Artesia form that does, a commissioned online notary can help.