REGISTRATION CHECK LIST Each registration shall contain the following information. Please consult with the Community Development Department at City Hall, 1201 Civic Center Blvd, Yuba City, or call (530) 822-5190 for assistance. All Applications: Completed General Information Form. Completed Residential including the applicant(s) and property owner(s) signatures and a detailed description of the proposed project. Proof/copy of physicians recommendation for medical marijuana and/or proof of patients physicians recommendation if applicant is a primary caregiver (as defined by the Health & Safety Code Section 11362.7). A current valid Medical Marijuana Card is acceptable. Acknowledgement from landlord/property owner (if applicable). Right of Entry for Inspection Form. Grow Area Description Form. 1
GENERAL INFORMATION City Code Title 8, Chapter 5, Article 54 describes the criteria for approving a Residential Cultivation Use. In order to be approved for a Residential Cultivation Use, the use must meet all content set forth in Sections 8-5.5415 and 8-5.5420, including: A primary caregiver or qualified patient must reside at the residence. The property must be the primary residence of the medical marijuana grower. Primary residence means that the property is occupied on a permanent basis for living, cooking, and sleeping, etc. The proposed cultivation must be ancillary to residential activities. The use of accessory buildings, outbuildings and/or greenhouses are acceptable for residential cultivation. The total square feet of cultivation area in all grow buildings is limited to an accumulated total of 75 square feet per residential property. No equipment, materials, supplies, merchandise or goods in connection with this use shall be stored or visible off of the property. From the public right-of-way, there shall be no visible exterior evidence of marijuana cultivation. Outdoor cultivation is prohibited. Medical marijuana for sale is prohibited. The property must be at least 700 ft. from any school, and 350 ft. from any childcare center, or public park. Medical marijuana cultivation areas, whether in a detached structure and/or inside a residence on the same parcel not be conducted or accessible to persons under 18 years of age. Indoor grow lights shall not exceed 1,200 watts. Gas products or generators shall not be used within any detached structure. Any detached or residential structure used for the cultivation of medical marijuana must have a ventilation and filtration system installed that shall prevent marijuana plant odors from exiting the interior of the structure. Registration shall be valid for no more than two (2) years and may be extended in increments of two (2) years. ~~~~~~~ I have read and understand the above requirements Signed 2
RESIDENTIAL MEDICAL MARIJUANA CULTIVATION REGISTRATION Registrant s Name: Cultivation Site Address: Mailing Address: Home Phone: Cell Phone: Email: I am a Medical Marijuana Participant; or I am a Medical Marijuana Caregiver for. I am the owner of the cultivation site listed; or I am a renter of the cultivation site listed. The property owner acknowledgement form is attached. Copy of Physician s recommendation for medical marijuana use attached; or Certification from Physician of Primary Caregiver (if applicable) attached. I certify that the cultivation site is located at least 700 feet (measured from property line to property line) from any school, and 350 feet from any library, park or other youth assembly location. City of Yuba City Official Use Only Community Development : 3
ACKNOWLEDGEMENT FOR LANDLORD/PROPERTY OWNER My signature below indicates my acknowledgement and awareness that my tenant is cultivating medical marijuana either indoors or in an outbuilding/greenhouse on the property located at, of which I am the legal owner. This same individual is the responsible tenant of the residential unit located at this address. Property Owner Signature Name (print) Contact Phone Email Address 4
RIGHT OF ENTRY FOR INSPECTION Property Address: By completing this form and signing below, you are declaring that you understand and will abide by your responsibilities under Article 54 of the Yuba City Municipal Code, Chapter 5, Title 8 Planning and Zoning, and the terms and conditions of the registration for which you are applying. I/We, the undersigned, grant permission to the City of Yuba City and its employees, upon presentation of proper credentials, to enter the property listed above for the purpose of inspecting the condition(s) for medical marijuana cultivation, provided that 24 hours notice of the authorized official s intention to inspect shall first be given to the owner and/or occupant, if they can be located after reasonable effort. In event that the owner and/or occupant refuses entry, the official is empowered to seek approval from any court of competent jurisdiction in authorizing such entry and to recover any attorney fees incurred. I/We agree to hold harmless and release the City of Yuba City, and its employees and officers, from all liability, claims, litigation expenses, injury and property damage that may arise out of the performance of the inspection, except for liability caused by the sole negligence or willful misconduct of the City and its employees. I have read and agree to the Right of Entry for Inspection Occupant I have read and agree to the Right of Entry for Inspection Property Owner 5
GROW AREA DESCRIPTION Property Address: Check all that apply: Location in home: Bedroom Living Room Garage Other (list) Appropriate out building/greenhouse Electrical Service in place: Yes No. If no, a City Building Permit will be required for electrical service connection to outdoor buildings Declaration: I hereby declare under penalty of perjury that this registration and all information submitted as part of this registration are true and accurate to the best of my knowledge. I understand that should any information or representation be submitted in connection with this registration be incorrect or untrue, the City of Yuba City may find me in violation of the Ordinance regulating Medical Marijuana Cultivation and may be subject to the civil penalties and enforcement provided in the Ordinance. Signature Name (print) 6