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MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobilehome
Owner's name IR I ID 0�-
17
Z r
I Owner's address o
Insignia or hud number
"F I
1 Manufacturer's name
(7
A . Serial number of-V.I.N. (6-1t)) Aj Year of manufacture
cial Ap-pr'�ving Installatio
IF THE MOBILEHOME'IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCE;!0TANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
TO: Building Departme nt
FROM: E�'ncroachmenL Permit Sec�ion
; RE : Driveway ClearZILlCe
,31vl Zal6,,
AP #
Driveway . perwit has been issued for the above property.
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