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.: