(C R .0 2 0 ) Optional Page 1 of 3 (E.D. 7 - 1 - 18) Health & Safety Code 24711361.8 JUVENILE PET ITION/APPLICATION (PROPOSITION 64) SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) : FOR COURT USE ONLY TELEPHONE: FAX NO. (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE Butte County Courthouse One Court Street, Oroville, CA 95965 (530) 532 - 7002 North Butte County Courthouse 1775 Con cord Avenue, Chico, CA 95928 (530) 532 - 7002 IN THE MATTER OF: CASE NUMBER: JUVENILE PETITION/APPLICATION PROPOSITION 64 HEALTH & SAFETY CODE 24711361.8(m) INSTRUCTIONS Use this form if you went to court for a marijuana-related offense when you were under the age of 18.Use this form to ask the court to change your dispositional orders or redesignate your marijuana-related offense.Use a separate petition/application for each charge that you want the court to take action on.A copy of the petition/application must be mailed or personally delivered to the Probation Department and the Butte County DistrictoIf mailed, the person performing the mailing must complete the Proof of Service (see page 3).oIf personally delivered, the agency may acknowledge its receipt by stamping the original petition to be delivered to the court.You must file this form in the county where your marijuana-related offense was adjudicated.You need to use a different form if you have eligible adult offenses. If you are currently on wardship probation for a qualified offense, you need to fill out sections 1 and 2. If you have completed probation, you need to fill out sections 1 and 3. Complete sections 4 and 5 as necessary.If a formal hearing on the petition/application is scheduled, the court will notify the Petitioner, his/her attorney, the Probation 1.OFFENSE INFORMATION On (date) , Petitioner was found to come within the jurisdiction of the court under Welfare and Institutions Code 247 602 for a violation of Health and Safety Code 247 11357 11358 11359 11360, which has beenbirth is . Petitioner further declares that the nature of the substance which resulted in the adjudication was: marijuana not in the form of concentrated cannabis; concentrated cannabis; marijuana plants; other: Petitioner further declares that the quantity of the substance that resulted in the adjudication was: not more than 28.5 grams of marijuana not in the form of concentrated cannabis; not more than 4 grams of marijuana in the form of concentrated cannabis; not more than 8 grams of marijuana in the form of concentrated cannabis; not more than 6 marijuana plants. American LegalNet, Inc. www.FormsWorkFlow.com (C R .0 2 0 ) Optional Page 2 of 3 (E.D. 7 - 1 - 18) Health & Safety Code 24711361.8 JUVENILE PET ITION/APPLICATION (PROPOSITION 64) 2. REQUEST FOR A NEW DISPOSITIONAL ORDER (RESENTENCING) Petitioner is currently subject to a dispositional order of the court for the offense noted above, and requests that the order be recalled and relief be granted in accordance with Health and Safety Code 247 11361.8(b). 3. REQUEST FOR REDESIGNATION be recalled and relief be granted in accordance with Health and Safety Code 247 11361.8(f). 4. WAIVER OF HEARING BY ORIGINAL SENTENCING JUDGE Petitioner waives the right to have this matter heard by the original sentencing judge. The presiding judge of the court may designate any judge to rule on this matter. 5. WAIVER OF APPEARANCE Petitioner understands there is a right to personally attend any hearing held in this matter. Petitioner gives up that right; the mater may be heard without his/her appearance. Date: (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER/APPLICANT OR ATTORNEY) American LegalNet, Inc. www.FormsWorkFlow.com (C R .0 2 0 ) Optional Page 3 of 3 (E.D. 7 - 1 - 18) Health & Safety Code 24711361.8 JUVENILE PET ITION/APPLICATION (PROPOSITION 64) PROOF OF SERVICE Personal Service Service by Mail 1. Person serving: I am over the age of 18 and not a party to this action. Name: Address: Telephone: 2. I served a copy of the Juvenile Petition/Application to the Probation Department as follows (check one): Name of person served: Address where served: a. Personal Service: I personally delivered the Juvenile Petition/Application to the person at the address listed above. Date served: Time served: AM PM b. Service by Mail: I deposited the Juvenile Petition/Application in the United States mail, in a sealed envelope with first class postage fully prepaid. The envelope was addressed as listed above. Date of Mailing: Place of Mailing (city and state): 3. I served a copy of the Juvenile Petition/Application to the as follows (check one): Name of person served: Address where served: a. Personal Service: I personally delivered the Juvenile Petition/Application to the person at the address listed above. Date served: Time served: AM PM b. Service by Mail: I deposited the Juvenile Petition/Application in the United States mail, in a sealed envelope with first class postage fully prepaid. The envelope was addressed as listed above. Date of Mailing: Place of Mailing (city and state): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (Signature of Declarant) (Printed Name of Declarant) American LegalNet, Inc. www.FormsWorkFlow.com