Mobile Home/RV Park Permit Application

Mobile Home/RV Park Permit Application
Facility type*

Mobile Home ParkRV Park
Facility name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Facility address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Owner address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

The following must be submitted with this application
- Proof of connection to an approved water source
- Proof of connection to public sewer or an Onsite Wastewater System Operating permit from TriCounty Health*
- Company information for solid waste disposal
- Service Buildings, Swimming Pools, Food Service (as applicable)
*ADDITIONAL APPLICATIONS AND FEES MAY BE REQUIRED BASED ON SERVICES PROVIDE BY YOUR FACILITY.
THE FACILITY MUST HAVE A PRE OPENING INSPECTION PERFORMED BY TRICOUNTY HEALTH PRIOR TO USE.
Please upload proof of the required items here:*

Cancelof

My Products*

Mobile Home/RV Park Inspection Fee

$100.00

Total

$0.00

Credit Card

Should be Empty: