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PASSPORT
PHOTO

Permit Holder

Government of Ghana

GA Central Municipal Assembly

Antie Aku  |  TEL: 0302-432980  |  www.gcma.gov.gh

FORM DC 5 No. 000002

Permit for Erection of Temporal Structure

Our Ref: GCMA/2026/0002
Date: 12 / 05 / 2026
T.S.P. No.: Hhh
GCR No.: Jjj
Tel.: 999
E-mail:

PERMISSION hereby granted to  Jjj   of              

to place a temporal structure viz:                                                       day of

   specification and other particulars approved by me on the  12  day of  May 2026

and subject to the conditions endorsed hereon and the provision of

LOCAL GOVERNMENT ACT 1993 (ACT 462) SECTION 64 AND NATIONAL BUILDING REGULATIONS, 1996, L.I 1630

The permit shall be valid until the 12  day of  May    2027

Dated this 12  day of  May 2026

NO. OF STRUCTURES: 1
UNIT PERMIT FEE: GH₵ 0.00
TOTAL COST: GH₵ 0.00

Municipal Engineer

Authorised Signature & Official Stamp

Endorsements

Application Note

This temporary structure permit does not confer title to land. This permit is valid until the 31st December of the year of issue.
QR
CODE

Jjj

Hhh

Issued: 12 May 2026  |  Expires: 12 May 2027

GCMA
OFFICIAL
STAMP

GA Central Municipal Assembly

Monthly Permit Summary

May 2026

Permits Issued

2

in May 2026

Total Revenue

GH₵ 0.00

permit fees collected

Structures Covered

2

total structures

This Permit's Contribution

Permit Holder

Jjj

TSP Number

Hhh

Structures

1

Fee Paid

GH₵ 0.00

Permit Numbers Issued — May 2026

# Our Ref TSP Number Permit Holder Structs Fee (GH₵) Status
1 GCMA/2026/0001 bb cvc 1 0.00 active
2 GCMA/2026/0002 Hhh Jjj 1 0.00 active
Monthly Total 2 GH₵ 0.00 2 permits

★ Highlighted row (yellow) indicates this permit. Generated: 12 May 2026, 23:53