Panchayat:Repo18/Law Manual Page0835

              (1).................................................................
              (2)...................................................................
              (3)......................................................................
              (4)..... ................................................................
   Plinth area of the building is as follows:
                         Basement
                         Ground Floor 
                          First Floor
                          ...................................................
                          ...................................................
                          ....................................................

 Place:                                                                                                          Signature and name of Secretary
 Date:
                                                                                       (Seal)

                                                                                   APPENDIX D
                                                                                 [See Rule 22 (2) (d)]
                                                 NOTICE REGARDING THE INTENTION TO START WORK
         I hereby give notice that I intend to start the development or redevelopment of land/ construction or reconstruction or addition or alteration of building as per permit No.......... dated...........on.......

                                                                                                         Signature:
                                                                                                         Name and address of owner or :
    Place                                                                                             Architect/ Building Designer/ Engineer/
    Date  :                                                                                           Town Planner/ Supervisor 

                                                                               APPENDIX E
                                                                             [See Rule 22 (2)(e)]
                                                           COMPLETION CERTIFICATE BYTHE OWNER

                                                                           CERTIFICATE
                                Certified that the development or redevelopment of land/ construction or reconstruction or alteration or addition of building/erection of telecommunication tower or pole structure has been completed/ partially completed as per the approved plan and permit No.................. dated....................................
                                                                                                                                 (Signature)
 Place :                                                                                                            Name and address of owner:
 Date  : 

                                                                    APPENDIX F 
                                                                   [See Rule 25 (1)]
                                                COMPLETION CERTIFICATE BYARCHITECT, ENGINEER etc.

                                                                         CERTIFICATE
               Certified that the development or re-development of land/construction or reconstruction or alteration or addition of building/erection of telecommunication tower or pole structure or work has been supervised by me and has been completed as per the approved plan and permit No.................................dated.......................

                                                                                                               Signature
                                                                                                                Name and address of Architect or
                                                                                                                Building Designer or Engineer or  
 Place :                                                                                                    Town Planner or Supervisor Date 
 Date   :                                                                                                    Reg No.: