FORM-4 lsee Regulation
                                                                                      3]
                                                    ARC HITE cI'S CERTI FICATE
                           (To be issued on completion
                                                               of each of the Building/Wing)


      To                                                                                           Date




   The                    (Name & Address
                                                of promoter
           81       ( Drv.




                                                                                                                           hrers
                                                                                           esr
 area being developed by
                                    IPromoter.s
 Sir,
                                                                                                            kper<

      wulducit-& have undertaken assignment
                                                                  as Architect /Licensed
Co    ,pr",ff*tT[, ruction Work of                 't    Building/_Wing of the Building
                                                                                                 Surv eyor of certifying

                                                                                                   situated on the plot
bearing servey no./ Final plot
                                       no
                                                                                   of Division        village_|k
ta luka      A^4         District                                                                                       6cry\
devel oped by                                          and measurin
                                            .IPromoter's lfame]
                                                                                     o4 .(]o sq. mts. area being
                                                                                                           X


                                L Dw,
      2     Following technical professionals
                                                   are appointed by Owner
                                                                                     / promoter :-
            (il     M/s/Shri/Smt                              n    L .S.   / Architect ;
            (iil    Mls /shri   /                                   tructural Consulta nt
            (ii0   M/s /Shri / Smt
           (iu)    M/s /Shri / Smt
                                                              as Site Supervisor




  3        Based on compretion certificate
                                                received from structurar
                                                                                   Engineer and site supervisor;
           and to the best of mylour
                                         knowledge t/We hereby certify
                                                                                  that_LBuitding/_winc of the
           Building has been completed
                                         in all aspects and is fit for
                                                                           occupancy for wrrich it has
                                                                                                         been erected

                                                                                                              2
        / re-erected / constructed and enlarged.
                                                    The Building/_Wing
                                                                          of the Building is granted
        Occupancy Certificate/Completion
                                              Certificate bearing number
        by-![(Local ptanning Authority)                                                                    L2   (

                                                                                                                    1



Yours Faithfully




Signature & N ame (tN BLOCK
                                   LETTERS)of L.S/ Architect
                                                               with (Licence No...
                                                                                                       )
        j,i r,,',;;6t., t:-'.' L :;,i#.to
         ecA :i;. c.r.l?0 !si.16019




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