What is the Part 16 Agreement for?

It supports a request for temporary mobile home use for the hardship, care, agricultural employee housing, or commercial caretaker purposes listed on the form.

Who completes this agreement?

The property owner provides property and contact information, checks the applicable purpose, and signs the declaration. An applicant or agent may also provide details if different from the owner.

Do I need a notary for the Part 16 Agreement?

No. This agreement is signed without a notary, and the form identifies no notarized or sworn attachment; the property owner signs and prints their name.

How do I submit the Part 16 Agreement?

Submit it to the Planning and Building Department, Building Division, at 2850 Fairlane Court, Placerville, CA 95667. The form lists (530) 621-5315.

El Dorado County, CA · El Dorado County

No notary required

Part 16 Agreement for Temporary Mobile Home Hardship or Commercial Caretaker

Property owners submit this agreement to request a temporary mobile home for qualifying family hardship, care, agricultural employee housing, or commercial caretaker use.

At a glance

Issued by: City of El Dorado County · El Dorado County, El Dorado County, California
Notarization: Not required: file this form without a notary.
Official source: eldoradocounty.ca.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This agreement supports a request to use a temporary mobile home for specified family hardship or care, agricultural employee housing, or commercial caretaker housing. The property owner identifies the purpose, provides property and contact details, and signs a declaration about the permitted occupancy. The form identifies pre-approval by the Planning Department for agricultural employee and commercial caretaker housing.

Who needs it

Property owners requesting temporary mobile home use for one of the hardship, care, agricultural employee, or commercial caretaker purposes listed on the form need this agreement.

How to submit it

Submit the completed agreement to the Planning and Building Department, Building Division, 2850 Fairlane Court, Placerville, CA 95667; the form lists (530) 621-5315.

About notarization

This agreement is signed without a notary; no notarized or sworn attachment is identified, so the property owner signs and prints their name.

How to submit this form

1
Download the Agreement
Download the Part 16 Agreement for temporary mobile home hardship or caretaker use.
2
Complete the Owner Details
Enter the assessor’s parcel number and property owner contact information; add applicant or agent details if different.
3
Select the Purpose and Sign
Check the applicable purpose, complete any requested family-member information, and have the property owner sign and print their name.
4
Submit to the County
Submit the completed agreement to the Planning and Building Department, Building Division, at the address printed on the form.

Frequently asked questions

What is the Part 16 Agreement for?: It supports a request for temporary mobile home use for the hardship, care, agricultural employee housing, or commercial caretaker purposes listed on the form.
Who completes this agreement?: The property owner provides property and contact information, checks the applicable purpose, and signs the declaration. An applicant or agent may also provide details if different from the owner.
Do I need a notary for the Part 16 Agreement?: No. This agreement is signed without a notary, and the form identifies no notarized or sworn attachment; the property owner signs and prints their name.
How do I submit the Part 16 Agreement?: Submit it to the Planning and Building Department, Building Division, at 2850 Fairlane Court, Placerville, CA 95667. The form lists (530) 621-5315.

Need something notarized?

This Part 16 Agreement for Temporary Mobile Home Hardship or Commercial Caretaker doesn’t need a notary, but if you have another El Dorado County form that does, a commissioned online notary can help.