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Signature of Applicant
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Parcel ID Number
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Date of manufacture
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Septic permit or approved application
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Map to Property and 911 address
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Telephone number of contact person
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Type of anchoring system being used
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Proof of snow load rating
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Site plan showing setbacks etc
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Identify installation company
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Gas/Electric/Water/Septic
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Number of bedrooms
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Total Valuation of manufactured home, not including land