Panchayat:Repo18/vol1-page0844

APPENDIX M [(See Rule 141 (4)] CERTIFICATE OF REGISTRATION

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:

(Seal)

APPENDIX-N

[See Rule 5(8) and 7(8)]

...............Panchayat

DETAILS REGARDING APPLICATIONS FOR RENOVATION WITHOUT INVOLVING ADDITIONAL BUILT-UP AREA OR STRUCTURAL ALTERATIONS OF EXISTING BUILDINGS

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):

SI.No

Floor level

(Basement/First/Second... etc.)

Built-up area in sq.metres

CERTIFICATE

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:

Action taken by the Secretary:

ഈ താൾ 2018 -ലെ പഞ്ചായത്ത് റെപ്പോ നിർമ്മാണം യജ്ഞത്തിന്റെ ഭാഗമായി സൃഷ്ടിച്ചതാണ്.