Mormugao Municipal Council: Applicable Forms ANNEXURE-III MORMUGAO MUNICIPAL COUNCIL Technical Section Application form for N.O.C for connection 1. Name of the applicant and address : 2. Full address of the house/shop for this No Objection Certificate is required. : 3. Nature of purpose for which such a connections required. (tick out) a) residential b) commercial c) industrial 4. If the connection is required for (b) and (c) above, that is , for non-resicential purpose, give the details of commercial/industrial activity. ( Enclose a copy of the permission Letter/Licence issued by this Council) : 5. Construction Licence number and date. Occupation certificate for the house, if any. (enclose the true copy) : 6. Municipal house number and ward No. : 7. House tax : receipt number of the house tax paid upto date : 8. In case, the applicant is a tenant, whether the 'No Objection Certificate from the owner has been obtained. if yes, enclose the original copy or xerox copy. : 9. I here by declare that the above-mentioned facts presented are true to the best of my knowledge and the respective development charges will be paid by me in the municipal treasury as required by the municipal authority.: Date : Signature of the applicant http://www.mmcvasco.com/annexure/annexure3.html (1 of 2) [3/16/2009 5:00:43 PM] Mormugao Municipal Council: Applicable Forms To, The Chief Officer, Mormugao Municipal Council, Vasco-da-Gama. for office use only Received Rs. towards the applicant fees vide receipt No. dated : Back to 'NOC for Water/Electric connection/Sewerage connection' http://www.mmcvasco.com/annexure/annexure3.html (2 of 2) [3/16/2009 5:00:43 PM]
