City of Flatonia
PO Box 329 - 125 E. South Main Street
Flatonia, TX 78941
Phone: (361) 865-3548 - Fax: (361) 865-2817
APPLICATION - LICENSE TO RENT
a Manufactured Home Outside a Manufactured Home Park
A $50
non-refundable
application fee must accompany this application.
INSTRUCTIONS:
1.
Please complete form by printing legibly.
2.
Obtain a deed with a legal description of the property or metes and bounds.
3.
Provide a current tax receipt to show all taxes are paid.
4.
Provide a drawing showing placement of manufactured home and property setbacks.
Date:
_
Applicant's Name:
_
Mailing address:________________________________________
________________________________________
Telephone: _________________________________________
Address for manufactured home:
_
Legal description of property:
PID#Ownerofproperty:
Was this Manufactured home placed on this property prior to January 1, 2003? yes no See Ordinance 3.06.006 (7)
Manufactured Home Information:
Serial#: ___
_
Year model:
Manufacturer:
_
I, the undersigned, do hereby affirm that
I
own the HUD Code Manufactured Home and the property on which the HUD
Code Manufactured Home is located; that
I
must notify the city before
I
sell this property so that this license may be
transferred, that this manufactured home will remain connected to utilities and not be vacated, abandoned or stored on
this site, and that this property conforms to all requirements in Section 3.06 of the Flatonia Code of Ordinances.
I
further
affirm that
I
understand that this license must be renewed on an annual basis.
Signed __
Date _
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Building Department (all conditions must be checked):
o
Electrical _
o
Plumbing
_
o Building _
o PID# ________________ (Attach FCAD Report)
o
Certificate of Occupancy was issued on _
Notes:
_
Building Department
Signature Date
click to sign
signature
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signature
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