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  Certificate of ownership of premises for water supply and sewerage connection  
 
 
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CERTIFICATE OF OWNERSHIP OF PREMISES
FOR WATER SUPPLY AND SEWERAGE CONNECTION

 
     
  This is certified that the premises, named ………………………………………………….. ( give name of the house or premises or office/ hotel etc. if name is not available leave it blank), located at ……………………………………………… ( give correct mailing address) and as described hereunder belongs to solely Shri/Shrimati …………………………………………………………., S/o/d/o ………………………………………………………….. as of this date……………………..  
     
  Description of the premises.
(Describe building or type of premises, e.g. RCC or NON-RCC, plinth area, nos. of storeys, Commercial (Rental, hotel/shop etc.) Domestic, etc)
........................................,     ........................................................, ....................................................
...........................................,   .....................................................,  ........................................................ 
 
 
  Note: This document can be certified t by any of the following officials or public representatives:  
     
  THE DC/OFFICIAL OF UN&HD / OR LOCAL SELF GOVERNMENT/ OR MUNICIPALITY ( NOT BELOW THE RANK OF DEPUTY SECRETARY ) OR PANCHAYAT PRESIDENT AND AT LEAST ONE PAANCHAYAT MEMBER OR ANY GAZETTED OFFICER NOT BELOW THE RANK OF JOINT SECRTARY.  
 

Verification.

 
  Verified that the above information furnished is found correct. Site plan showing the location is also enclosed for ready reference.  
  Supervisor in charge Junior Engineer in charge Approved  
     
  For detail contact  
  Office of the Divisional Engineer
Deorali /School Road
WS & PHED, Gangtok
Phone No: 281322 (O)
Divisional Engineer
Sewerage/ Revenue
WS & PHE Department
 
 
         
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