Panchayat:Repo18/vol1-page0837

(1) …………………………….

(2) ……………………………..

(3) ………………….............

(4) ………………………….…

Plinth area of the building is as follows:-

Basement

Ground Floor

First Floor

…………………………………

………………………………..

……………………………....

Signature and name of Secretary

Place:

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 : Architect/ Building Designer/ Engineer/

Town Planner/ Supervisor

Place:

Date:

APPENDIX E

[See Rule 22 (2)(e)]

COMPLETION CERTIFICATE BY THE 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)

Name and address of owner:

Place:

Date :

APPENDIX F

[See Rule 25 (1)]

COMPLETION CERTIFICATE BY ARCHITECT, 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

Town Planner or Supervisor

Reg No.:

Place:

Date :

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