ULHASNAGAR MUNICIPAL CORPORATION CITIZEN FACILITATION CENTRE SUBJECT:- COMPLAINTS REGARDING TOWN PLANNING Token Number (For Office Use) Date:- / / Citizen Identification Number (If Citizen Identification Number is given, do not fill below Details) Applicant's Details: Last Name/ Surname Name Father/Husband's Name Details of Society (If Application from Society): Name Of Society: Designation Address: Head Information House/Building/Soc. Name: Flat/Block/Barrack No.: Wing/Floor: Road/Street/Lane: Area/Locality/Town/City: Taluka: Pin code: Wards Committee No.: 1 [ ] 2 [ ] 3 [ ] 4 [ ] Electrol Panel No.: Telephone No. (if any): Contact Person: Email Address (if any): Classification: - (Tick [ ] whichever applicable) [ ] F.S.I . violation [ ] Completion certificate not received within the stipulated period. [ ] Construction permission not granted. [ ] Compound wall not constructed by developer. [ ] Closing balcony without Society's NOC and Use Permission Certificate. [ ] Occupation of building without completion certificate. [ ] Closing / Blocking of approach road. [ ] Fake documents submitted for development permission. [ ] Others Details of Complaint:- [Note:- Please attach necessary documents regarding Complaint.] Applicant's Signature
