City of Byron - Manufactured Home Application

Name of Applicant: *

First NameLast Name

Email*

example@example.com

Applicant’s Phone Number: *

Please enter a valid phone number.

Date*

Date

Mailing Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Address of Property where manufactured home is to be placed:*

Is this property in a manufactured home park?*

YesNo

If yes, what is the name of park?

What is the lot number where the home is to be placed?*

Do you own the property on which the home is to be placed?*

YesNo

If no, what is the name of the owner?

Are there any existing manufactured homes in the area?*

YesNo

If yes, what is the distance from the existing homes to be proposed home?

Is there an existing dwelling (site built or manufactured) on the property on which this manufactured home is proposed to be placed?*

YesNo

Will the manufactured home be located within thirty (30) feet of another structure?*

YesNo

Will the home be on public sewer or septic tank for sewerage disposal?*

SepticPublic Sewer

If septic tank, have you received health department approval for placement of the tank?*

YesNo

* A copy of the approval must accompany this application.

Is there a creek, stream, or major drainage way on this property?*

YesNo

Is this property or a portion of this property located in an established 100-year floodplain?*

YesNo

Provide a sketch that shows the following:
a. The shape and dimensions of the entire lot on which the manufactured home is to be place. Include all adjacent streets.
b. The proposed location of the home on the lot, showing the number of feet between the home and all property lines and any existing structures. Include all decks, porches and accessory or out buildings.
c. The location of any existing structures, steams, creaks, or easements.

Provide the following information about the manufactured home: (A picture, brochure or other visual depiction of the home must accompany this application.)

What size is the home?*

What year was it built?*

What is the model name or number?*

What type of exterior siding is found on the home?*

What is the pitch (slope) of the roof? *

What material is the roof?*

Is the home being placed on a permanent continuous masonry foundation?*

Are the hitches and axles going to be removed?*

Will at least 18 inches of crawl space be maintained under the home?*

What are the dimensions of each porch or deck for each entrance?*

Has this home been registered with the County?*

A copy of the registration sticker and receipt must accompany this application.

The above does not violate any restrictive covenants applicable to the property and all statements are true to the best of my knowledge and belief. I realize distances and other information should be exact and if errors result in a violation of zoning regulations, then the structure will have to be removed.
I hereby attest that I am the owner of the referenced property or have permission from the other to make this application.

Applicant’s Signature*

Date*

Date

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