Panchayat:Repo18/vol1-page0844

APPENDIX M
[(See Rule 141 (4)]
CERTIFICATE OF REGISTRATION

This is to certify that ...............................Sri/Smt.......................(State the name and full address) has been registered as....... (State the category) under the provisions of the Kerala Panchayat Building Rules, 2011.

Signature of

Registering Authority with name

Place:

Date:

(Seal)


APPENDIX-N
[See Rule 5(8) and 7(8)]
...............Panchayat
DETAILS REGARDING APPLICATIONS FOR RENOVATION WITHOUT INVOLVING ADDITIONAL BUILT-UP AREA OR STRUCTURAL ALTERATIONS OF EXISTING BUILDINGS

FOR RELIGIOUS PURPOSE OR PLACES OF WORSHIP

(To be submitted by the applicant to the Secretary in triplicate)

Name of Applicant :

Address :

Village & Survey Number :

Extent of land :

Details of Renovation works :

Nature of ownership :

Built-up Area of existing building(s):


SL NO Floor level (basement/First/Second...etc) Built up area in sq.meters








CERTIFICATE

Certified that the works for the above specified building(s) involve only renovation works without any structural alterations or addition in the existing built-up area.


(Signature)

Name and address of the owner

Place:

Date:


For Office Purpose:



Forwarded to District Collector along with verified drawings and other relevant details if any : File/Application No :

Date of receipt of application :

(Signature of Secretary)
(office seal)

Acknowledgement of the receipt from District Collector :

(Signature)
Name and designation of the authorized signatory

Place:

Date:

Action taken by the Secretary:
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