REQUEST FOR R COOR RDINATE ES APPLICATION N FORM Plot P Coordinattes Rigght of Way (R ROW) Coordinates Design Constru uction Projject Inform mation Projject Location / Communitty Client Name Projject No. / Plo ot No. Appliicant Information Consultant Nam me of Consultant Nam me of Applicant Ema ail Contact No. Trak khees ID License No. Contractor Nam me of Contracctor Nam me of Applicant Ema ail Contact No. Trak khees ID License No. Submisssion Requiirements Plott Coordinatess 1. Trakhees isssued Site Pla an/Lease Draw wing. 2. Any Trakhee es-CED issued d NOC/Clientt Appointmen nt Letter. ROW W Coordinate es for Design Purpose 1. Client/Deve eloper Appoin ntment Lette er. 2. Layout draw wing with Clie ent/Develope er’s approvall. ROW W Coordinate es for Constrruction Purpo ose 1. Trakhees-CED issued Infrastructure NOC. N PLNG-F-D DRG-C-01 P Page 2 of 2 Declaratio on • eby confirm th hat all inform mation and doocuments pro ovided in thiss application comply with Trakhees We here Regulations and Standards. • If any de elay occurs due to incorre ect informatioon provided by b us in the submitted appplication we hold ourselve es solely re esponsible forr the delay. • We are lliable for anyy legal obligattions which m may occur due to invalid / tampered ddocuments be eing submitte ed along wiith this appliccation. Date PLNG-F-D DRG-C-01 Authoriz zed Name & Siignature P Page 2 of 2
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