If that RV already has the back closed off properly (you can buy aftermarket panels that do it, just need to be riveted or welded in place, or someone with some skill may have fabricated something), then about all you would need to do would be to rip off the existing "deck" and put a proper flatdeck on it. If it hasn't been properly closed off, then you would have to do it, and it wouldn't be cheap. My brother built a few of those conversions over the years, and so I got to know those, as well as other people's with the same idea. The badly done ones have problems with sagging or tearing roofs, doors not opening or closing properly, all kinds of wind noise, the remaining body ripping out of the body-to-frame mounts, etc etc. If they are done properly, they are nice as they're a bit more maneuverable in tight spaces over a pickup with the same length deck. However, lots less interior room obviously.
If you do go with a pickup cab on that frame, it's a bit of screwing around, because of where the motor sits in relation to the front wheels. Unless you're good at fabricating things like body/radiator mounts, steering shafts, linkages etc. yourself, or have a friend or family or someone who will do it very reasonably for you, it'll cost you a bunch if you have to have it done by a shop.
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