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Yavapai County Assessors Office 1015 FAIR STREET, PRESCOTT, AZ 86305 PHONE 928.771.3220 FAX 928.771.3181 10 S. 6TH STREET, COTTONWOOD, AZ 86326 PHONE 928.639.8121 FAX 928.639.8104WWW.YAVAPAIAZ.GOV504
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How to fill out 504 mobile home request

01
Fill out the applicant information including name, address, and contact information.
02
List the reasons for requesting the mobile home such as disability or medical condition.
03
Provide documentation to support the reasons stated in the application.
04
Submit the completed form to the appropriate housing authority or organization.

Who needs 504 mobile home request?

01
Individuals with disabilities or medical conditions that require accommodation in a mobile home.
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504 mobile home request is a form filed to request permission to place a mobile home on a specific property.
Anyone wishing to place a mobile home on a property must file a 504 mobile home request.
To fill out 504 mobile home request, you need to provide information about the property, the mobile home, and the reason for the request.
The purpose of 504 mobile home request is to obtain permission to place a mobile home on a specific property.
Information such as property address, mobile home details, and reason for the request must be reported on 504 mobile home request.
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