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Get CA HCD 500 2004-2024

E (See Reverse Side for Instructions on Completing this Form) SECTION 1. DEPARTMENT USE ONLY TYPE OF PERMIT REQUESTED (Check appropriate boxes) Collection No. Date Park ID No: Original Amended PTO Fee $ Transfer of Owner/Operator State Fee Change of Name or Address MH Lot Fee $ Change in Number of Lots (Addition of lots requires local approvals) Lot Fee $ Type of Park: Mobilehome Park Special Occupancy Park Amended PTO Fee $ Temporary Special Occupancy Park Permit to Const.# .

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