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ANNEXURES TO GOMs.NO. 168 MA & UD, DATED: 07.04.2012

ANNEXURES TO GOMs.NO. 168 MA & UD, DATED: 07.04.2012

ANNEXURES TO GOMs.NO. 168 MA & UD, DATED: 07.04.2012

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354APPENDIX – XIToThe Commissioner,BUILDING COMMENCEMENT <strong>NO</strong>TICE(To be submitted by Owner/Builder/Developer)Date dd mm yyyy……………………….(ULB)Building Permit /Ref: Proceedings NoDate dd mm yyyyFILE No.Sir / Madam,I/We hereby give notice that the work of the construction will be commenced on (Date) .………………… as per the detailsof the Sanctioned Plan as given below. (Due date for commencement of work is given in Building Permit Order)ANAME OF THE APPLICANTB LOCATION OF THE PROPOSED SITE1 Plot No.2 Sanctioned Layout No. / LRS No.3 Survey No. Village4 Premises / Door No.5 Ward No. Block No.6 Road/ Street7 Locality8 Circle Division9 City/ Town DistrictC DETAILS OF THE SANCTIONED PLAN1Building Permit /Proceedings NoDate dd mm yyyy2 Site Area (m 2 )As per Documents As per submitted Plan Road Widening Area Net AreaFloors as per3Sanctioned Plan4 Number5 Use6 Floor Area (m 2 )7 Parking Area (m 2 )8 Setbacks (m)Cellar Stilt Ground Upper FloorsFront Rear Side I Side II9 Height (m)D DETAILS OF OWNER / DEVELOPER / LICENCED TECHNICAL PERSONNELSl.No.Name Licence No. Signature1 …………………………………………………….Owner / Owners / Lessee / Authorised Agent2 …………………………………………………….Builder / Developer3 …………………………………………………….Architect/ Engineer/ Surveyor4 …………………………………………………….Structural Engineer

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