DRAFT - RV/Mobile Home Park Request for Plan Review

RV/Mobile Home Park Request for Plan Review
For more information, please refer to Rule: R392-402 & R392-301.
Date

MonthDayYear
Date
Parcel Number*
Contact Person

First NameLast Name
Contact Person's Phone Number
Please enter a valid phone number.
Type of Facility
Facility Name:*
Facility Address (physical and mailing)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Facility Phone Number*
Please enter a valid phone number.
Email
example@example.com

Owner's Name

First NameLast Name
Owner's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Phone Number
Please enter a valid phone number.
Owner's Email
example@example.com

The following items MUST be addressed on the plans:
- Engineered Drawing of Facility
- Water Supply & Plumbing
- Wastewater Disposal
- Solid Waste Disposal
- Service Buildings
- Operation & Maintenance
- Swimming Pools (as applicable*)
- Food Service (as applicable*)
Upload Complete Plans*

Cancelof
*ADDITIONAL APPLICATIONS AND FEES MAY BE REQUIRED BASED ON THE SERVICES PROVIDED BY YOUR FACILITY. (Swimming pools and food service will be reviewed independently)

Fee

Inspection/Permit Fee

$200.00 Quantity

Total

$0.00

Credit Card

Should be Empty: