City of Flatonia
PO Box 329
-
125 E. South Main Street
-
Flatonia
,
TX 78941
Phone: (361) 865-3548 Fax: (361) 865-2817
APPLICATION FOR A PLACEMENT PERMIT
Manufactured Home Outside of a Manufactured Home Park
To Be Owner Occupied only.
INSTRUCTIONS :
1.
Please complete form by printing legibly.
2.
Provide 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: _
Receipt #:____________
Homeowner’sName:
________________________

Mailing Address:____________________________________________
____________________________________________
Telephone
:
_
Email:.
_
Proposed address of manufactured home:
_
Legal description of property: _
Owner of property:
PID#
_
Manufactured Home Serial #:
_
Year model:
Manufacturer
: _
I, the undersigned
,
do hereby affirm that
I
own the property on which the HUD Code Manufactured Home will be located and that my
family and
I
will be its occupants (owner occupied); 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;
I
will
not
rent this property to another occupant; and that this property conforms to all requirements in Section 3.06 of the Flatonia
Code of Ordinances. I f urther understand
I
must wait to receive on approval letter from the City of Flatonia before proceeding with
the installation of this home.
Signed
Date
_
Building Department’s investigation:
o
Either this is a lot that meets the subdivision size requirements, or, if placed on a lot where another primary
structure is located, there is enough room on the property to establish two lots that both meet the subdivision
requirements.
o
PID and owner have been FCAD verified.
o
There are no outstanding taxes on this property.
o
Contractor Installation list has been completed.
o
All
contractors are registered and have current documentation on file.
o
Okay to allow Utility Department to complete the "New construction on undeveloped lot information form".
Notes: __
Building Department’s Signature Date
click to sign
signature
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