Panchayat:Repo18/vol1-page0844
This is to certify that ...............................Sri/Smt.......................(State the name and full address) has been registered as....... (State the category) under the provisions of the Kerala Panchayat Building Rules, 2011.
Signature of
Registering Authority with name
Place:
Date:
FOR RELIGIOUS PURPOSE OR PLACES OF WORSHIP
(To be submitted by the applicant to the Secretary in triplicate)
Name of Applicant :
Address :
Village & Survey Number :
Extent of land :
Details of Renovation works :
Nature of ownership :
Built-up Area of existing building(s):
| SL NO | Floor level (basement/First/Second...etc) | Built up area in sq.meters |
Certified that the works for the above specified building(s) involve only renovation works without any structural alterations or addition in the existing built-up area.
(Signature)
Name and address of the owner
Place:
Date:
For Office Purpose:
Forwarded to District Collector along with verified drawings and other relevant details if any : File/Application No :
Date of receipt of application :
| (Signature of Secretary) |
| (office seal) |
Acknowledgement of the receipt from District Collector :
| (Signature) |
| Name and designation of the authorized signatory |
Place:
Date:
|
This page is Accepted in Panchayath Wiki Project. updated on: 29/ 05/ 2019 by: Joshywiki |