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(122)Schedule – 21

122Schedule – 21
(Related to Sub-rule (2) of Rule 39k.)
Format of the submitted application presenting the basis for
demanding the change of land-use
Dear chairperson,
………………. District land-use committee,
……………….. District,
Subject :- Requesting to change the pre determined land-use.
I present this application demanding to change the land-use as following. I
request to change the pre determined land-use and to retain the land use as
follows .
1. Detail of the land which land-use has already been determined :-
(1) Name, surname and address of the Landowner :-
(2) Name, surname and address of the Tenant :-
(3) Details of the land

(4) Area of land-use determined by the land-use council :-
(5) Date of Approval of determination by the land use council
(6) Fixed terms and conditions :-
(a) ……………………………..
(b) ……………………………..
(c) ……………………………..
(d) ………………………………..

122 Inserted by Fifth Amendment.
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2. Reason for demanding the change ………………………..
3. The subject / topic desired for change …………………..
4. Brief details of expected achievement after change ………………….
Applicant :-
Signature :-
Name, Surname & Address :-
Citizenship certificate No.:-
Date :-

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