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ANNEXURE IV

SL.NO.

                                                                                                ................Town Panchayat

APPLICATION FORM FOR RENEWAL OF BUILDING LICENCE

From

          Thiru. . . . . . . . . . .                  

          No.. . . . . . . . . . . . . . Street,]     

          Ward No.. . . . . . .

To

          The Executive Officer,

          . . . . . . .. . . . . . .Town Panchayat.

Sir,

          Sub: Building..................Town Panchayat-Sanction of building licence
                 
for the construction of  building at S.F.No...........St.................
                 
renewal of licence-requesteds-regarding.

         Ref: Proceedings of the Town Panchayat,................ Town Panchayat

                  B.A.No................Dt.............     

  ~~~~~~~~~~

               With  reference to the building licence issued  by theTown Panchayat in the reference cited, the construction  work, owned to me/us has not yet been commenced/completed.  The work is executed uptoFountation/Lintel/Foof level............floor level.

               Hence  I/We  request  you  to  kindly  renew   the building   licence   for   a   futher   period   of   one    year From.............To............ . The copy of Building licence is enclosed.  I shall arrange to pay the relevant licence  fees  for the same. 

Encl:Copy of original licence.                                                    Yours faithfully, 

                                                                                              (Signature of the Applicant)

Place:

Date:

 


 

ACKNOWLEDGEMENT.

                                                                                              Office of the Town Panchayat,

                                                                                             ..............................................

                                                                                             Sl.No.         Date. 

               Received the application for renewal of building licence   from Thiru...........    He  is  requested to  contact  the  Executive Officer regarding the disposal of application on.......(after  30 days)   He is assigned seniority No........  as  per  register maintained for this purpose.

                                                                                                            Executive Officer,

                                                       ..........................   Town Panchayat. 

 


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Last  updated on Friday, May 30, 2008