Mobile or Manufactured Home Placement Approval Permit

Submit your Mobile or Manufactured Home Placement Approval Permit Application using the form below or you may opt to complete complete and return the Mobile Home &/or Manufactured Home Placement Approval Permit Application (PDF) form.

PDF Form Instructions: Please return completed forms and documents to: Jon Struckhoff via email to Jon Struckhoff or via mail to 200 West Booneslick Rd., Warrenton MO 63383. A Drop Box is available in the City Hall lobby during business hours.

Fees: Refer to the Building Department Fee Schedule for current fees.

"*" indicates required fields

1Present Location

2Proposed Location

3Contractor

4Documents

5Signature

Present Location

Present Location Street Address*

Present Location City*

Applicant Info

Applicant Name*

First Last

Applicant Address*

Applicant Phone*

Applicant Email*

Certification & Signature
Consent*
I have read, understand, and agree to the below statements.
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent, and we agree to conform to all applicable laws of this jurisdiction. The applicant further warrants the truthfulness of all information in the application and if any information provided is incorrect, or if the permit was issued wrongfully, the permit may be revoked. I understand that a commercial occupancy is required to file a business license application with the City Clerk’s Office.
Applicant Signature*

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Mobile or Manufactured Home Placement Approval Permit

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Contractor

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