consen-form.doc

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Transcript of consen-form.doc

12 Dec,2012

The Municipal Council of Port-LouisJules Koenig Street,Port-Louis

To Whom It May Concern:

This is to certify that I , Mr…………………………………………… give full consent and authorisation to my neighbour Mr …………………………….................. to erect his construction (Second Floor) on our common boundary at BK J19 Maigrot Street, Cite-Martial,Port-Louis and I also give my full support to the Municipal Council of Port-Louis to carry forward with the application form.Please find the hereunder the owner name’s and the National I.D Nos ( copy also attached)

Name : Mr……………………………………..

Signature :…………………………

I.D Nos……………………………