Required fields are marked with asterisks (*)

Mobile Home Park License Application

All applications, licenses and permits are subject to approval.

Name of Applicant

Address

Phone Number

Email Address

Name of Mobile Home Park

Mobile Home Park Address

Mobile Home Park Phone Number

Number of Mobile Home Spaces

I certify that the information provided is true, accurate, and complete. I understand that the completion of this application does not guarantee approval

For Office Use Only

Date of issue:

License:

Cost:

Effective Date: