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� ,_� - .�OI?'�GG'�"�OEf Srn,.� <br /> �s��'l/..� d or�� <br /> MOBILE HOME PERMIT <br /> Electrical Permit No. 337�v7 <br /> Sewer Permit No. <br /> Water Permit No. <br /> Plumbing Permit No. <br /> Date �g- 1:C -Q � Fee: <br /> Park Otme��'1(ver Stior��/'k/'�G M.I-F. P ���N.Phone Number_`]07-I9�_(� C/ <br /> Mailing Address _p0. aG� �9y <br /> Glen t=I 1e,1 r C'a 95�l�2 <br /> Speeial Property Use Permit Number � 3 3 <br /> Mobile Home Park Name S �Ugr S�ofeS /�') 1-H� Space No. ,3p <br /> Mobile Home Park Address ���oz2 W J� �V�'/` �i � � l���'��� c��j� <br /> Manufacturer �r �'n /J -; ) � <br /> —�"e+-te,-r <br /> Installer/Contractor �� ' istration tio.��Q�v�r�. <br /> Address � • 7 �PHo�e No. X �j''S`� -��j, <br /> Other Buildings on this Lot {��- , jGrGl 'S�, <br /> NOTE: 1. All additional structures require separate building permits. <br /> (Storage building, decks, carports� etc.) <br /> , 2. Pr�or to occupancy, the Huilding Department shall inspeet for <br /> conformance to Lhe site plan approved by the Planning <br /> Department. <br /> , I aGREE AND TAKE FULL RESPONSIBILITY THAT THZS MOBILE HOME WILL BE SET UP <br /> ACCORDING TO MANUFACTURER'S SPECIFICATIONS. <br /> SIGNED a mG(�. DATE �-I Z-�J � <br /> P k Ouner <br /> ----------------�---------------�---------------------�---------------------------- <br /> Office use only below this line <br /> Setbaeks: Front Side Side Rear <br /> Special conditions or instructions: o � <br /> A�! <br /> L <br /> All conditions of the Mobile Home code and Special Property Use Permit � <br /> No. have been met. ��\nt,���l(�1 <br /> f,r �1 �i <br /> Building Official <br /> �"a�/l�in%_9e� Jac.���.��� -� .337-�5�S <br />