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Completed by an official) SECTION A : APPLICANT / AGENT DETAILS First names Surname VAT no Company name Business address E-mail Postal code Tel Cell Fax SECTION B : PROPERTY DETAILS Allotment area Erf / Erven / Farm no Street address Suburb Relevant Zoning scheme Extent Current zoning Title deed no Approximate age of existing buildings Title deed date Any restrictive title deed conditions? Y N Y N T / Y Y Y Y Y M D D Y M Y N N/A If Yes, please specify Is proper.

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