Manufactured Home Permit Application Form - City Of Bowling Green
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1
2Filing Date: _____________
City of Bowling Green
Manufactured Home Permit
Neighborhood and Community Services
Application
707 E. Main Ave
PO Box 430
Bowling Green, KY 42102-0430
Please Print Clearly in Ink or Type
Phone: 270-393-3676 & 270-393-3615
Fax: 270-393-3223
Permit # MFH2016-
PERMIT LOCATION
Permit Address __________________________________________ Suite/Unit/Apt __________ Zip Code ____________
Subdivision _____________________________ Project/Development Name ___________________________________
Lot # ___________
Building # ____________
PROJECT INFORMATION
Manufactured Home Make: ____________________________________ Year: ______________
Home is:
Single Wide
Double Wide
Half #1 B-Seal/HUD# ____________________________
Serial No: ______________________________________
Half #2 B-Seal/HUD# ____________________________
Home Dimensions:
Length ___________
Width ___________
Total Square Footage ___________
Improvement Cost $_______________________
Are any of the following present? If yes, then proper setbacks are required.
If you plan to construct any of these items then a separate permit is required.
Deck
Yes
No
Covered Porch
Yes
No
Storage Building
Yes
No
APPLICANT INFORMATION
Applicant ___________________________________
Street Address _______________________________________
City _________________________________
State ______
Zip Code _____________
Suite/Unit/Apt # ________
Email __________________________________
Phone _____________________
Mobile _____________________
Check all that apply to Applicant’s Role:
Owner
Contractor
Other__________________
Primary Contact ________________________________________ Office Phone _________________________________
Email ________________________________________________ Mobile Phone_________________________________
Fax ________________________________________
December 7, 2015
Doc # 597895
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