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MOBILE HOMB PERMIT <br /> Electrical Permit No. <br /> Sewer Permit No. !.� ;` <br /> Water Permit No. <br /> Plumbing Permit No. <br /> Date <br /> Fee: <br /> Yog_GZ�%-?Tf3 <br /> Park Owner �J Iz,FQI)"�f{r �C ,r'oNnl hFEQIC Phone Num5er9/�-S4/� Y30g <br /> Mailing Address �D�C (o`�S� a(2 (30�t/ �4C <br /> �« ��LEnI CA S.SVY_7_ Pe_ee�E (3��a�►a C',o S3SS3 <br /> Special Property Use Permit Number <br /> Mobile Home Park Name �'I�UE2 S NoQ�S /17oBfCEF�nE A9ek Space No. a0A <br /> Mobile Home Park Address /�62? S�Lur2 G,qK QD Fu o -rr w,y 58�4� <br /> Manufacturer __(9 7 �] c, C p7-L 2 <br /> Installer/Contractor f1GE /1'IO811 NomF S�iQu�cF Registration No.CLO! -Qt�poN07joQ* <br /> Addr�s� o K / � ,�gilE�/,�,p Guff 582.S�Phone No. <br /> Other Buildings on this Lot J�ON � <br /> NOTE: 1. All additional structures require separate building permits. <br /> (Storage building� decks, carports, etc.) <br /> ' 2. Prior to oceupancy� the Building Department shall inspect for <br /> conformance to the sita plan approved by the Planning <br /> Departmen�. <br /> I AGREE AND TAKE FULL RESPONSIBILITY THAT THIS MOBILE HOME WILL BE SET UP <br /> ACCORDING TO MANUFACT ER'S SPE�FICATIOYS. <br /> � �n� <br /> SIGNED -�C- 4n45Gi- DATG a—� — 8 7 <br /> P�k Owner <br /> '----�-------------�-------------'--�-----��---------'------�--------�------------- <br /> Office use only beloa this line <br /> Setbaeks: Front Side Side Rear <br /> Special conditione or instructions: <br /> All conditions of the Mobile Home code and Spacial Property Use Permit <br /> Na• have been met. <br /> Building Official <br />