Form Center

2. Township of Jackson

   95 West Veterans Highway | Jackson, NJ 08527 | (732) 928-1200

   Office of the Township Clerk

6. MOBILE HOME PARK APPLICATION

8. NEW
9. RENEWAL
10. BLOCK
12. LOT
13. ACREAGE
17. BUSINESS NAME:
18. T/A
20. Name of Establishment
22. ADDRESS
24. Phone Number
25. Email Address
27. Detailed description of site location:
29. Is applicant record title owner of Block and Lot described above:

    1. YES

    1. NO
31. If applicant is a corporation, list ALL names and addresses of all Stock Holders with their Social Security Number must be submitted (list below)
33. Amount of Application Fee Accompanying this Application for:
35. FEE AMOUNT RECEIVED BY
36. DATE
    DATE
38. Annual Fee Schedule:

    Sr. Citizen Mobile Home Park      Chapter 280       Expires: February 1        $600.00

    Family Mobile Home Park            Chapter 400       Expires: February 1        $200.00

    Adult Mobile Home Park               Chapter 280       Expires: February 1        $600.00

40. TOTAL # OF APPROVED SITES
41. TOTAL # OF SITES IN USE
43. CURRENT MAP OF SITE SUBMITTED

    1. YES

    1. NO
44. UPLOAD MAP

46. *APPLICANT AGREES TO COMPLY WITH ALL ORDINANCES AND REGULATIONS WHICH HAVE HERETOFORE BEEN ENACTED OR MAY BE ENACTED IN THE FUTURE PERTAINING TO ACTIVITIES IN THE TOWNSHIP OF JACKSON

50. TOWNSHIP CHECKLIST- MUNICIPAL USE ONLY

    FIRE DISTRICT                                                     _____________                          ______________ (DATE OF APPROVAL)

    JACKSON TOWNSHIP MUA                               _____________                          ______________ (DATE OF APPROVAL)

    BUILDING DEPARTMENT                                 _____________                          ______________ (DATE OF APPROVAL)

    CODE ENFORCEMENT                                       _____________                          ______________ (DATE OF APPROVAL)

    PLANNING AND ZONING DEPARTMENT     _____________                          ______________ (DATE OF APPROVAL)

    TAX COLLECTOR (TAXES CURRENT)            _____________                          ______________ (DATE OF APPROVAL)

Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

* indicates a required field