Jackson, NY · Washington County
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
Download The Application
Download the Town of Jackson Application for Permit for Mobile Home.
- 2
Complete The Application
Provide the applicant, plot-owner, and occupant information requested on the form.
- 3
Attach The Plot Plan
Attach a plot plan showing the plot, access, proposed mobile home and related structures, septic system, and well.
- 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.
