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PPLICATION IN TERMS OF SEC. 4(2) OF ACT NO. 103 OF 1977 Please Tick ( ) the Appropriate boxes & Complete all documentation in BLACK INK only Related LUM Authorization: Proposal: Additional / Alterations New Residential: M.B.W ( Minor Building Work ) Dwelling Deviation to Approved plan number : Townhouse Flat No. of Units (specify) (where Townhouse or Flats selected above) : Other Residential (specify) NonResidential: LUM Application No: FOR OFFICIAL USE ONLY Units Industrial / Ware.

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