Yreka, CA · Siskiyou County
Cannabis Business Permit Owner Background Application
This application collects background information and authorizations from an owner applying for a cannabis business permit in Yreka.
What this form is
Owners applying for a Yreka cannabis business permit use this application to provide personal details, criminal history, and information about prior regulated cannabis employers. It also includes a declaration under penalty of perjury and a release authorizing criminal background and credit-related checks. The form instructs applicants to attach extra sheets if more space is needed and to read the instruction sheet before filling it out.
Who needs it
An owner listed on a commercial cannabis business application in Yreka needs this form to provide background information and authorize investigations.
How to submit it
Submit it to the City of Yreka Planning Department at 701 4th Street, Yreka, CA 96097; the form lists (530) 841-2386.
About notarization
This document is signed without a notary; the applicant signs a declaration under penalty of perjury and a criminal background investigation release.
How to submit this form
- 1
Download The Application
Download the Cannabis Business Permit Owner Background Application.
- 2
Complete The Applicant Details
Provide the requested personal, business, contact, and criminal history information.
- 3
Gather Additional Sheets
Attach extra sheets if more space is needed for criminal history information.
- 4
Sign And Submit
Sign and date the application and release, then submit the form to the Yreka Planning Department at the address listed.
Frequently asked questions
- Do I need a notary for the Cannabis Business Permit Owner Background Application?
- No. The form has no notary block; the applicant signs a declaration under penalty of perjury and a criminal background investigation release.
- How do I submit the Cannabis Business Permit Owner Background Application?
- The form lists the Yreka Planning Department at 701 4th Street, Yreka, CA 96097, and phone number (530) 841-2386.
- What information does the owner background application request?
- It asks for applicant and business details, contact and identifying information, criminal history, prior regulated cannabis employers, and signed authorizations.
- What if I need more space for arrest information?
- The application says to attach extra sheets if additional space is needed for criminal history information.
Need something notarized?
This Cannabis Business Permit Owner Background Application doesn’t need a notary — but if you have another Yreka form that does, a commissioned online notary can help.