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SELF AUTHORIZATION LETTER

I Arun K Goundar 225, Hullaki, Shirali, Bhatkal Taluk Uttara Kannada District, submitting here with
the application for forest clearance for Diversion of Forest land for Quarry and access road to quarry
in Sy No.1 of Chandragutti Village, Soraba Taluk, Shimoga District. The forest land is required for
establishment for Quarry and access road to quarry.

I am the authorized person making this application including any official/formal communication and
correspondences with Forest department.

My personal Details are as below:

Name: Arun K Goundar

Date of Birth: 03/06/1972

Mobile Number: 7338172133

Email ID: bastikoppamine@gmail.com

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