Cannabis Business Permit (Richmond, California)

This is the official Cannabis Business Permit from City of Richmond. You can fill it in its original layout in your browser or with an AI assistant, then download it to review, sign and submit to the agency.

Form details

Issuer

City of Richmond

Jurisdiction

Richmond, California

Type

Business licenses and registrations

Questions

102

Last mapping review

2026-10-01

Official blank PDF from City of Richmond ↗

What this form asks

• Application Type (choose one)
• Business Type: A License (Retailer) (checkbox)
• Business Type: Retailer (checkbox)
• Business Type: M License (Retailer) (checkbox)
• Business Type: Cultivation (checkbox)
• Business Type: Manufacturing (checkbox)
• Business Type: Distribution (checkbox)
• Business Type: Testing Laboratory (checkbox)
• Microbusiness Activity: Manufacturing (checkbox)
• Microbusiness Activity: Distribution (checkbox)
• Microbusiness Activity: Dispensary (checkbox)
• Microbusiness Dispensary Type (choose one)
• I. Primary Contact: Name
• I. Primary Contact: 24-Hour Contact Email
• I. Primary Contact: Phone
• II. Applicant: Business Entity Name
• II. Applicant: Doing Business As (DBA Name)
• Owner 1: Name
• Owner 1: Title
• Owner 1: Ownership %
• Owner 1: Mailing Address
• Owner 1: City/State/Zip
• Owner 1: Email
• Owner 1: Phone
• Owner 1: Date of Birth (date)
• Owner 2: Name
• Owner 2: Title
• Owner 2: Ownership %
• Owner 2: Mailing Address
• Owner 2: City/State/Zip
• Owner 2: Email
• Owner 2: Phone
• Owner 2: Date of Birth (date)
• Officer/Manager 1: Name
• Officer/Manager 1: Title
• Officer/Manager 1: Mailing Address
• Officer/Manager 1: City/State/Zip
• II. Applicant: Legal Structure (choose one)
• Officer/Manager 1: Email
• Officer/Manager 1: Phone
• Officer/Manager 1: Date of Birth (date)
• Officer/Manager 2: Name
• Officer/Manager 2: Title
• Officer/Manager 2: Mailing Address
• Officer/Manager 2: City/State/Zip
• Officer/Manager 2: Email
• Officer/Manager 2: Phone
• Officer/Manager 2: Date of Birth (date)
• Management Company: Company Name
• Management Company: Contact Person
• Management Company: Mailing Address
• Management Company: City/State/Zip
• Management Company: Email
• Management Company: Phone
• IV. Property Address
• IV. Property: Suite/Unit Number
• IV. Property: Zip Code
• IV. Property: Assessor Parcel Number
• IV. Property: Zoning
• IV. Property Owner/Landlord
• CUP 1: Date on Record of Decision (date)
• CUP 2: Date on Record of Decision (date)
• VI. Property Owner or Landlord: Name
• VI. Property Owner or Landlord: Mailing Address
• VI. Property Owner or Landlord: Email
• VI. Property Owner or Landlord: Phone
• Revoked/Suspended License 1: Licensing Agency or Jurisdiction
• Revoked/Suspended License 1: Date (date)
• Revoked/Suspended License 2: Licensing Agency or Jurisdiction
• Revoked/Suspended License 2: Date (date)
• Revoked/Suspended License 3: Licensing Agency or Jurisdiction
• Revoked/Suspended License 3: Date (date)
• Indemnification 1: I release the City of Richmond from claims arising from code changes or prosecution (checkbox)
• Indemnification 2: I will defend, indemnify and hold harmless the City (checkbox)
• Certification: Printed Name
• Certification: Title/Relationship to Applicant
• Certification: Date Signed (date)
• I certify under penalty of perjury that the information in this application is true and correct (checkbox)
• I acknowledge this application is valid only for 180 days from the date it is signed (checkbox)
• I acknowledge I am subject to the Richmond Municipal Code cannabis provisions and penalties (checkbox)
• I acknowledge I will not commence operations until I receive my Cannabis Business Permit (checkbox)
• LLC Disclosure: Person 1 Address
• LLC Disclosure: Person 2 Address
• LLC Disclosure: Person 3 Address
• LLC Disclosure: Additional ownership information is attached (checkbox)
• LLC Disclosure: Date Signed (date)
• Microbusiness Activity: Cultivation (checkbox)
• CUP File Number 1 (Including Modifications)
• CUP File Number 2 (Including Modifications)
• Property Condition: Other (Please State) (multiline)
• Cultivation Class (choose one)
• Manufacturing Type (choose one)
• Manufacturing Class (by Gross Receipts) (choose one)
• Distribution Type (choose one)
• Owner 1: Fingerprinted (choose one)
• Owner 2: Fingerprinted (choose one)
• Officer/Manager 1: Fingerprinted (choose one)
• Officer/Manager 2: Fingerprinted (choose one)
• CUP 1: Record of Decision Received (choose one)
• CUP 2: Record of Decision Received (choose one)
• Property Condition (choose one)
• X. Has the applicant or any director/manager been associated with a cannabis business whose license or permit was revoked, surrendered or suspended (choose one)

Review, sign and submit

PaperPorter fills the form but does not submit it or approve anything. Signatures, initials and staff-only areas are left for the right person. Confirm current fees, attachments and filing instructions with City of Richmond.

Business licenses and registrations in other places

• Business License Application - Front Antioch
• Home-Based Business License Application - Front Antioch
• Home-Based Business License Application - Back Antioch
• Home-Based Business License Application form Antioch
• Home Occupation Permit Brisbane
• Home Occupation Permit Clayton

Frequently asked questions

Does PaperPorter submit this form?

No. You download the completed PDF, then review, sign and submit it to City of Richmond yourself.

Can I fill it without an AI assistant?

Yes. Fill it in your browser and download the completed PDF. An assistant such as ChatGPT or Claude can also ask you the questions and fill it for you.