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City of Mildred, Texas

Mobile Home/Mfg. Home

Application for Permit

Date of Application: ______________

Name of Applicant or Owner: _____________________________________________

Address:_____________________________________ Phone: __________________

Sub-Division/where to be located: ________________________________________

911 Address: _________________________________

Lot No.: __________________ Block or Section:  ________________________


Make: ______________________________ Year: ___________ Size: _____________

Cost: $__________________ When is home to be moved? ______________________

What type of foundation will home be set on? ________________________________


How soon after home is installed will it be skirted or closed in? __________________

Does the building comply with the sub-division restrictions? ___Yes ___No

(If not in sub-div. Omit)ATTACH:NOTICE:



_____________________________ _____________________________

Signature Owner Signature of Applicant if made by Agent Application without complete information will not be approved. copy of legal description of lot & if in a sub-division a copy of the restrictions two (2) snapshots of the home. a drawing showing set backs (IN FEET) from sides, front & back.

Application fee of $75.00 and a Administrative fee of $25.00

Fee Paid: $ _______ cash_______ check _________Money Order



Approved _____Yes ___No


_____________________________ Date: __________________

City Official/Title




Mobile-Mfg Home Application.wps

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