Schedule 5 Certificate under section 107(7) of the Public Works Act 1981 for grant of land under section 105 or section 106 of that Act

s 107(7)

Name, occupation, and address of person to whom land is granted:

Nature of estate or interest granted:

Area and description of land to be granted in exchange or (part exchange) for the land taken, purchased, or acquired or for the land injuriously affected or for the damage done:

Date from which entitled:

Encumbrances, liens, and interests to affect land to be granted:

Reservations and restrictions to affect land to be granted:

I hereby certify that the above particulars are correct and that the Minister of Lands, or Minister of Railways, or other notifying authority [describe] has approved the granting of such land.

Chief executive of the department within the meaning of section 2 of the Survey Act 1986:

or

General Manager of Railways:

or

Principal Administrative Officer:

Schedule 5 heading: amended, on 16 December 1983, by section 4(9)(a) of the Public Works Amendment Act 1983 (1983 No 150).

Schedule 5: amended, on 1 July 1996, by section 5 of the Survey Amendment Act 1996 (1996 No 55).

Schedule 5: amended, on 1 April 1988, by section 84(4)(a) of the Public Works Amendment Act 1988 (1988 No 43).

Schedule 5: amended, on 16 December 1983, by section 4(9)(b) of the Public Works Amendment Act 1983 (1983 No 150).

Schedule 5: amended, on 16 December 1983, by section 4(9)(c) of the Public Works Amendment Act 1983 (1983 No 150).