Jackson, NY · Washington County

No notary required

Application for Permit for Mobile Home

Town of Jackson applicants use this application to request a permit for a mobile home under the town’s mobile home ordinance.

What this form is

This application requests a Town of Jackson permit for a mobile home under the town ordinance dealing with mobile homes, mobile home parks, and trailer parks. It asks for applicant and plot-owner information, details about who will occupy the plot, and a plot plan showing the mobile home, access, utilities, and other site features. The form also asks whether a deed is attached.

Who needs it

Anyone applying to the Town of Jackson for a permit for a mobile home should complete this application and provide the requested plot information.

How to submit it

Submit the application and the $10 fee, payable to Jackson Town Clerk, to 2355 State Route 22, Cambridge, NY 12816.

About notarization

This application is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Jackson Application for Permit for Mobile Home.

  2. 2

    Complete The Application

    Provide the applicant, plot-owner, and occupant information requested on the form.

  3. 3

    Attach The Plot Plan

    Attach a plot plan showing the plot, access, proposed mobile home and related structures, septic system, and well.

  4. 4

    Submit To The Town Clerk

    Submit the application with the $10 fee payable to Jackson Town Clerk at the address listed on the form.

Frequently asked questions

Do I need a notary for the mobile home permit application?
No. The application has a place for the applicant to sign and date it; no notary is required.
How do I submit the mobile home permit application?
Submit the application and the $10 fee, payable to Jackson Town Clerk, at 2355 State Route 22, Cambridge, NY 12816.
What information does the application request?
It asks for the applicant’s name and address, plot-owner and occupant details, whether a deed is attached, and a plot plan with site features.

Need something notarized?

This Application for Permit for Mobile Home doesn’t need a notary — but if you have another Jackson form that does, a commissioned online notary can help.