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

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2. Name and address of person/s or firm/s to whom notification should be forwarded
(Owner/Leaseholder or Designer/Developer/Builder)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
3. Name and address of person/s or firm/s responsible for preparation of accompanying
plans, calculations and specifications
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
4. Address (or other necessary identification) of the proposed works or building to which
the application relates:
__________________________________________________________________
___________________________________________________________________
__________________________________________________________________
5. Description of changes to the proposed works or building from original application:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

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