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    FORM No. 19

    Uploaded by

    nkjannu.dte

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FORM No. 19

    Uploaded by

    nkjannu.dte
    1 views1 page

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    © © All Rights Reserved

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    Copyright:

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    1 views1 page

    FORM No. 19

    Uploaded by

    nkjannu.dte

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    KARNATAKA FOREST DEPARTMENT

    (Karnataka Forest Rules, 1969)

    Form No. 19
    ( Rule 125(1))
    Application for permit to fell Catechu trees and manufacture Cutch from them

    To,
    The Deputy Commissioner,
    …………………… District.

    Sir,
    I,………………………………………………. S/o …………………………………………………………….. Resident ……………
    ………………………………………………… of ………………………………… village …………………………..taluk …………………………..
    district, intend to fell Catechu trees, particulars of which are furnished below, for the purpose of
    …………………………………………………..………… and request for the grant of a permit for the same.

    1. Name of the taluk ………………………………………………………………………………..


    2. Name of the village ………………………………………………………………………………..
    3. Survey number or other particulars of the land
    from which the Catechu trees are intended
    to be filled ………………………………………………………………………………..
    4. The right of the applicant over the land or trees
    in question. ………………………………………………………………………………..
    5. Number of trees to be felled with their girth,
    height, etc.
    ( a list of trees to be enclosed) ………………………………………………………………………………..
    6. Purpose of felling ………………………………………………………………………………..
    7. Place where manufacture of Cutch will be
    conducted, if the felling of trees for the
    manufacture of Cutch. ………………………………………………………………………………..
    8. Time required ………………………………………………………………………………..

    Place ……………………………………..
    Date ………………………………………. Signature of the applicant.

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