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Mobile Home Park License Application 6-2016-TD6-2016 Rev TD MOBILE HOME PARK LICENSE APPLICATION Park Name: _______________________________________________________________________________________ Park Address: _____________________________________________________________________________________ Park Phone: _____________________________________ Park Fax: ________________________________________ Park Owner Name: _________________________________________________________________________________ Park Owner Address: _______________________________________________________________________________ Park Owner Phone: _________________________________ Park Owner Fax: ________________________________ Park Manager: _____________________________________________________________________________________ Park Manager Phone: _______________________________________________________________________________ Email Address: ____________________________________________________________________________________ __________________________________________________________________________________________________ Authorized Agent or Owner’s Signature Date FOR OFFICE USE License Fee: $40.00 Permit No: _______________________________ Staff Initials: ____________________ PLANNING & COMMUNITY DEVELOPMENT INSPECTIONS DIVISION 1400 SCHERTZ PARKWAY, BLDG. #1 SCHERTZ, TEXAS 78154-1634 (210)619-1750, FAX (210) 619-1769