Application For Permission To Carry Out Trench And Pit Excavation Within Railway Protection Zone Page 2

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Deputy Director
Development and Building Control Division
Land Transport Authority
251 North Bridge Road
Singapore 179102
Fax No: 63328223
1 Project title and description of works :
______________________________________________________________________________
______________________________________________________________________________
2 Commencement date : _____________________ Completion date :_______________________
3 Location :
______________________________________________________________________________
4 I understand that works within the railway protection and safety zones shall not start on site
unless written clearance for commencement of works is obtained from the Land Transport
Authority.
Name of Engineer-in-Charge
Signature
Date
Contact No:
Fax No:
Name of Supervisor
Contact No:
Address of Engineer-in-Charge
For Official Use Only
File Ref : LTA/DBC/________________
Received date : _____________________
Doc id : ___________ Initial : _________
Given to OIC _______ on ____________
For Official Use Only
We have in-principle no objections to your proposal. You are allowed to commence works
on site. Your works shall comply with the Code of Practice for Railway Protection and the
Rapid Transit Systems (Railway Protection, Restricted Activities) Regulations.
The proposal falls outside the railway protection zones. Clearance is not required.
You did not fully provide the documents required. Please provide documents relating to
item no. _____________ (see page 1).
Please contact __________________________________ at Tel: ______________________ or
Fax: 63328223 for any enquiry.
for DEPUTY DIRECTOR
Development & Building Control
Doc id : __________
cc:
SMRT
Fax: 64565251
/
SBST
Fax: 63889361
(* Delete where not applicable)
LTA DBC RAIL-S1 (Sep2005)
Page 2 of 2

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