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APPLICATION FOR MOBILE HOME/PARK I (WE) _______________________________________________ HEREBY MAKE APPLICATION TO THE CITY BUILDING INSPECTOR, CITY OF PARAGOULD, AR, AS REQUIRED BY ORDINANCE NO. 853 (TO PLACE A MOBILE HOME/PARK) (TO PLACE A MOBILE HOME ON MY/OUR LOT BECAUSE OF THE FOLLOWING HARDSHIP SITUATION _____________________________________________________________________________ ____________________________________________________________________________ TO BE USED BY MEMBERS OF MY FAMILY ONLY, AND NOT FOR RENTAL PURPOSES, ON MY/OUR PROPERTY WHICH IS LOCATED AT ________________________________ PARAGOULD, AR DATE _________________
APPLICANT/S _____________________________________ _____________________________________
WE, THE UNDERSIGNED PETITIONERS, STATE AND DECLARE THAT WE ARE PROPERTY OWNERS WITHIN 300’ OF ABOVE DESCRIBED PROPERTY, THAT (PLACING A MOBILE HOME/PARK ON SAID PROPERTY IS COMPTABLE, I.E. IN CHARACTER WITH OTHER USES IN OUR DISTRICT) (I/WE DO NOT OBJECT TO A MOBILE HOME/PARK BEING PLACED ON SAID PROPERTY BECAUSE OF THE ABOVE DESCRIBED HARDSHIP SITUATION). OWNER/S
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AFFIDAVIT OF CIRCULATOR OF PETITION STATE OF ARKANSAS COUNTY OF GREENE
I, ____________________________________________, BEING FIRST DULY SWORN, DEPOSE AND SAY THAT I AM ONE OF THE OWNERS OF ABOVE PROPERTY ON WHICH MOBILE HOME/PARK IS SOUGHT TO BE PLACED; THAT THERE ARE ______________ PARCELS OF PROPERTY WITHIN 300’ OF MY DESCRIBED PROPERTY ON WHICH MOBILE HOME/PARK IS SOUGHT TO BE PLACED; THAT I PERSONALLY CIRCULATED THE FOREGOING PETITION; THAT IT BEARS THE GENUINE SIGNATURS OF THE OWNERS OF 75% OR MORE OF SIAD OWNERS OF PROPERTY (PARCELS OF PROPERTY) WITHIN 300; OF MY DESCRIBED PROPERTY. I MAKE THIS AFFIDAVIT BEING AWARE THAT I CAN BE PROSECUTED FOR PERJURY AND FINED UP TO $500.00 IF CONVICTED FOR MAKING A FALSE AFFIDAVIT. SIGNATURE ________________________________________ SUBSCRIBED AND SWORN TO BEFORE ME THIS ______ DAY OF __________, 20_________ TITLE ________________________________________
APPLICANT/S _____________________________________ _____________________________________
WE, THE UNDERSIGNED PETITIONERS, STATE AND DECLARE THAT WE ARE PROPERTY OWNERS WITHIN 300’ OF ABOVE DESCRIBED PROPERTY, THAT (PLACING A MOBILE HOME/PARK ON SAID PROPERTY IS COMPTABLE, I.E. IN CHARACTER WITH OTHER USES IN OUR DISTRICT) (I/WE DO NOT OBJECT TO A MOBILE HOME/PARK BEING PLACED ON SAID PROPERTY BECAUSE OF THE ABOVE DESCRIBED HARDSHIP SITUATION). OWNER/S
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AFFIDAVIT OF CIRCULATOR OF PETITION STATE OF ARKANSAS COUNTY OF GREENE
I, ____________________________________________, BEING FIRST DULY SWORN, DEPOSE AND SAY THAT I AM ONE OF THE OWNERS OF ABOVE PROPERTY ON WHICH MOBILE HOME/PARK IS SOUGHT TO BE PLACED; THAT THERE ARE ______________ PARCELS OF PROPERTY WITHIN 300’ OF MY DESCRIBED PROPERTY ON WHICH MOBILE HOME/PARK IS SOUGHT TO BE PLACED; THAT I PERSONALLY CIRCULATED THE FOREGOING PETITION; THAT IT BEARS THE GENUINE SIGNATURS OF THE OWNERS OF 75% OR MORE OF SIAD OWNERS OF PROPERTY (PARCELS OF PROPERTY) WITHIN 300; OF MY DESCRIBED PROPERTY. I MAKE THIS AFFIDAVIT BEING AWARE THAT I CAN BE PROSECUTED FOR PERJURY AND FINED UP TO $500.00 IF CONVICTED FOR MAKING A FALSE AFFIDAVIT. SIGNATURE ________________________________________ SUBSCRIBED AND SWORN TO BEFORE ME THIS ______ DAY OF __________, 20_________ TITLE ________________________________________
