Yreka, CA · Siskiyou County
Medicinal Non-Storefront Retail Cannabis Business Permit Application
This application is for businesses seeking a Yreka permit to operate a medicinal non-storefront cannabis retail business.
What this form is
The application collects business, contact, ownership, and proposed location details, along with information used to assess social equity eligibility. Applicants use it to seek a City of Yreka medicinal non-storefront retail cannabis business permit. The checklist calls for a signed application and other materials, including agreements, background check forms, plans, and fee payment.
Who needs it
A business entity seeking a Yreka permit for medicinal non-storefront cannabis retail should complete this application and provide the listed supporting materials.
How to submit it
The checklist calls for one printed hard copy of the complete, signed application. Submit it to the Planning Department, 701 4th Street, Yreka, CA 96097; the form lists (530) 841-2386 and [email protected] for questions.
About notarization
This application is signed and dated without a notary; its certification and owner disclosures are declarations under penalty of perjury, but the form does not call for notarization.
How to submit this form
- 1
Download The Application
Download the medicinal non-storefront retail cannabis business permit application PDF.
- 2
Complete The Application
Fill in the business, contact, proposed location, social equity, and owner information requested.
- 3
Gather Supporting Materials
Use the checklist to gather signed agreements, background check forms, plans, any applicable supporting documents, and fee payments.
- 4
Sign And Date
Complete the application certification and owner disclosures, then sign and date them.
- 5
Submit To The City
Provide one printed hard copy to the Planning Department at 701 4th Street, Yreka, CA 96097.
Frequently asked questions
- Who uses the medicinal cannabis permit application?
- A business entity seeking a Yreka permit for medicinal non-storefront retail cannabis uses this application and provides the supporting materials listed in its checklist.
- What materials does the application checklist request?
- The checklist names signed agreements, owner background check forms, a business plan, a security plan, applicable social equity documents, other applications, and fee payments.
- Do I need a notary for the medicinal cannabis permit application?
- No. The application is signed and dated without a notary. Its certification and owner disclosures are declarations under penalty of perjury, but the form does not call for notarization.
- How do I submit the medicinal cannabis permit application?
- The checklist requests one printed hard copy of the complete, signed application. Submit it to the Planning Department at 701 4th Street, Yreka, CA 96097.
Need something notarized?
This Medicinal Non-Storefront Retail Cannabis Business Permit Application doesn’t need a notary — but if you have another Yreka form that does, a commissioned online notary can help.