I have a front mounted receiver on my E450. Used it to carry bikes. That said, Yes, you can, as long as you do not block the lights and air flow to the radiator. Also if you have any technology stiff like adaptive cruise control, forward sensing systems etc. you will mess them up.
You may want to add the model year to your signature.
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2019 Thor Chateau 28Z 2018 E-450 Chassis W/ V10
4 Wheel tow a 2021 Ford Ranger Lariat 4X4 W/ Blue Ox Alpha Tow Bar/Base Plate and Stay-IN-Play DUO Brake system.
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