Article 20e(2) - Form Of Application For A Revised Disability Access Certificate

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THIRD SCHEDULE
Form of Application For A Revised Disability Access Certificate
Article 20E(2)
Building Control Acts 1990 and 2007
Application for a Revised Disability Access Certificate
Donegal County Council
Building Control Authority:
OFFICIAL USE
Date Received _______________
Public Services Centre
Register Ref. ________________
Neil T Blaney Road
Letterkenny
Entered on __________________
Co. Donegal
Entered by __________________
Fee Received ________________
Application is hereby made under Part IIIB of the
Building Control Regulations 1997 to 2009 for a
Revised Disability Access Certificate in respect of the works or building to which the
accompanying plans, calculations and specifications apply.
Original Disability Access Certificate application Reference No.: _____________________
Reason for Revised Disability Access Certificate application: ________________________
__________________________________________________________________________
Planning Permission Reference No.: ____________________________________________
1. APPLICANT: Owner / Leaseholder (delete as appropriate)
FULL NAME: ___________________________________________________________
ADDRESS: _____________________________________________________________
_______________________________________________________________________
SIGNATURE: __________________________________________________________
TELEPHONE NO.: _______________________ DATE: _______________________
Owner of works or building (if different to above):
FULL NAME: __________________________________________________________
ADDRESS: _____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

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