Form A
Form A
Form A
From
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To
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2. I/We have absolute right over the land applied for and have not made any
encroachment on any government land.
3. The names of the persons employed by me/us for the preparation of plans, and
supervision of the work are as under:
4. I/We have read the Building Rules applicable for the Local body wherein the site
lies and claim to be fully conversant with it; I/We will abide to the provisions of the Building
Rules fully.
5. I/We shall fulfill my duties and responsibility in accordance with the provisions of
the Building Rules.
1. Applicant’s name :
e mail ID
the North -
the East -
the South -
the West -
Signature of Owner/Registered
Developer or
Date