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Sir,
I intend to
develop/institute/change the use of land/building as per details
furnished in the statement below for which permission is
required under this Act, I hereby request that you will be
pleased to declare the liability of land and/or building for the
levy of development charge and to determine the development
charges payable and communicate the same to me.
Yours faithfully,
.
1. a) Name of the Owner /
occupation:
....b)
Full Postal Address:
....c)
Name of Applicant:
....d)
Date of application for permission:
2.
Description of land/land Schedule or building..
for which development
charge has to be assessed:
3. Land
- The total in square meters :
- Present use (to filled in by the office) :
- Use proposed :................................
Residential/Industrial/Commercial/Agricultural
4.
Building
- Plinth area of building & cubic metres of the content of
such building or works
- Present use :
..................................Residential/Industrial/Commercial/Agricultural
Use proposed :
5. Any other particulars supporting the application:
Date : .
Place:
SIGNATURE OF
THE APPLICANT
N.B.: In case
of change of use of the application shall accompany
- Documents showing ownership right over the land
property
- Site Plan
- Key Plan
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