Professional Documents
Culture Documents
PRELIMINARY
1. Short title
2. Interpretation
PA~T IX MISCELLANEOUS
PRELIMINARY
PART IX - MISCELLANEOUS
To:
'tration Beard)
2. Address , ' , .
(c) Landscapi:n~'j'P:roposed:. . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . .
Date: .......................•....
Taking due note of the facts given by the applicant and the
comments of the Planning Authority, the application form: .•..
for . • . . . . . . . . • • . . . . . . . . . . . . . • . • . • . . . . . . . . . . . . . . . • • . . . • . . . . . . •
is recommended/not recommended for award of the grant of State
land.
The site recommended by the Board is indicated in the site
plan and the plan~ing conditions mentioned above by the
Planning Authority shall apply to the grant.
To: ..•.....•...•..••••.••.•••••••.•
(Name of the Plot Allottee)
Address: .......•....•...•..••.•.•••
Name:
Address: .............................................................
Da te : '.' .
* [Delete whichever is not applicable]
FORM 5
................ , .
... . .. .. . . . .. . -. .
To Director of Lands & Surveys
Date •.•.••....•.••••••••••••.••
FORM 6
Secretary
To:
. . . . . . . . . . . . . . . . . • . . . . . . . . . . . Planning Autori ty
(Name of Planning Authority)
(Address) ...........•.......•
OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . • . . . . . . . . . • . .
AT .
secretary
Land Administration Board
PART 1
We, the undersigned, have checked and hereby certify that
Mr/Mrs/Miss
of .......................•.........................••.••••...•. ~ •..
has been holding the land described as follows:
..................................................................................................... ' .
and as shown in the location plan attached to this tertificate
under customary tenure sinc·e •. ; ••.••••••...............•....•.••..•
(state the date or No. of years)
Da te: ......•.••.............
.. . .. . . .. .. .. .. . .. .. .. . .. .. .. . . .. . .. . .. .. .. .. . .. . .. .. . .. .. .. .. . . ..
Signature of Local Government Officer of
Area Council/Clerk of Municipal
Council of •.....•.•••......
.. .. .. .. .. .. . .. . .. .. . .. .. ..
~ ..
Seal of Area Councilor
Municipal Council
Date: " .
i Declaration: The ownership of
the land and the
I declare that I particulars
am the owner of the land and to the best given in this
of my knowledge the information I application have
furnished above is correct. (If upon been checked and
investigation, it is fou~d that found correct
information furnished in the application
is incorrect, either the lease will not be The ownership of
issued or if issued it will be withdrawn) . the land and the
particulars
given in this
application are
doubtful. The
application is
to be referred
to the
District
Authority for
(Sgd) : verification
PART II
............................ . of ' - ..
is the r:i.ghtfu1 owner/ is nOt the rightful owner of the land.
(delete whichever is not applicable)
Date: .••••••...•.••.•....••..•.....
Seal of the
· ' .
APPLICATIONFROM MR/MRS/MISS .................•......... - _- -
OF••..••.••••••.....••.....•••..• TO LEASE THE CUSTOMARY LAND
AT .....•..••................•.... NOW DESIGNATED AS STATE LAND UNDER
THE STATE LANDS ACT, 1991.
· " " .
Secretary Land Administration Board
To:
(Name and Address
of the Applicant) .D2.te: •••••.•••••••••••...
APPLICATION FOR ISSUE OF' A LEASE FC:?. ':OUR CUSTO:MA:~Y LAND NOW
DESIGNATED AS STATE LAND SITUATE AT ...•.••••••••••••••.•••••
(Name of Place)
............................................................................ '"
~ .
With reference to your application dated .
for the grant of a lease for the land you are holding at the above
mentioned location, please be advised that the Minister for Local
Government and Lands has agre~d to grant you a lease on the
following conditions:
1. Use of the land should be. , .
WITNESSETH AS follows:
1. Signed and Sealed with the seal of the Department of Lands and
Surveys and delivered by ••••••••••••••••••••••••••••••••
Permanent Secretary
5.25
100
=D 362 5