ceNG noaxA ugt cn0 Ncnil.

vryr NAM
' DQc I$p - Tq do - H4nh phfc

GIAY CHUNG NHAN

QUYEI,I SI./ DUNG DAT
QUYEN SO HITU NHA O VA TA SAN KHAC GAN LIEN VgI DAT

I. Ngutri sri dgng d6t, chii s& hfru nhir cr vir tiri sin khrlc gin li6n vcri d6t
Bn NGUYTx 14 THiN
Ndrn sinh: 1942, CMND s6:020606740
Dia chi thuong tr[: 9-T5-4 L6 Rl-3 Khu ph6 Sky Graden, phucrng TAn phong,
QuQn 7. Tp.Ho Chi Minh.

CE 092Ur8
II. Thria dfft, nhir & vh tiri sin khric gin li6n v6'i al6t
l. Thiba iIAt
a) Thua ddt s6: 405 , to ban do s6: 38
b) Dia chi: 258 Narn Kj, Khcri Nghia" Phuong 8. Quan 3, Tp.H6 Chi Minh
c) DiQn tich: 499.SOrn'?. (bang chir: B6n trdm chin muoi chin phAy t6m rnucvi rnet
vu6ng)
d) Hinh thuc s[r dung: S.u dpng ri6ng
d) MUc dich sir dirng: Ddt co so s6n xudt , kinh doanh ( xay dr,rng cao oc v[n phong)
e) Thoi.han.sri dung: Ldu ddi
g) Ngu6.n gdc su dyng: Nhan chuydn nhuong dat duoc C6ng nhfln QSDD nhu giao ddt co
thu ti6n su'dgng ddt
2. Nhd d: -/-.
3. CAng fiinh xiy dry'ng klttic:
TOn c6ng trinh: Cao 6c Van phong

DiQn tich Di0n tich san

Hang muc Hinh thuc C6p cong Thoi h4n
xdy dung (m'?) hodc
c6ng trinh so hriLr trini-r so hiru
(m'?) cong suat

Cao 6c Vdn phong 262.50 t -+910 So htru ri€ng Cdp 1

4. Rirng xufu ld rirng tring: -,-

scrn

5. CAy hu ndm: -/-.

6. Ghi chri:
^.; chung nhdn ndy thay th6 Gi61, chung nhdn qur €n so htu nha o va qu1'6n su dung dAt o
- Gidy
sO +O8IZOOT/GCN ngay 01/0612007 do UBND Qudn 3 cdp.
- Gi6y chung nh4n ndy thay th€ Gid1, chung nhdn qur 6n su dung dAt. qu10n so hiru nhh o'vlr
tai s6n kh6c gan li6n voi dAt sd CT 08555 ngdl' I 7 I0'101 I do So tiri N-eu1,6n va M6i truong
cap.
- LQ gi6i ducrng Nam K) Khoi Nghia lir 30.0m qur hoach theo Qu1'€t dirfi s6 6982/QD-LJB-
QLDT ngiry 301911995 cua UBND TP.
- Khi nhd nuoc thuc hi6n quy hoach chu su dpng dAt o. chr.r so hiru nhd o phai ch6p hhnh theo
qui dinh./.

.0j. narn 2017.

TP. HO Chi Minh. nga.v .13. thang
S6 TII NGUYEN VA MOI TRUONG-TP.HO CHi MINH
KT. GIAM DOC IINZ...'
PHO GIAM DOC 4

Wim Ta* 6kqr,k

56 vir., s,J cAp GCN:-CS 45048
III. So ad tniia d6t, nhir & vir tiri srin kh6c gin liOn vcri tl6t
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NS: 258 Nam Xi, Khdi Nghia, Phudng 8

B,iNG LIEr xE ToA 06 G6c B4H

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aca f----iiii---T---ti;i- Canh

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vr rni nxA d, oAr d 616
r r91014.26 601t41.20
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. GHI CHU:
O L0gidi dudng Nom Xi KhA: Nghio rd 3O,O m,quy hodch theo Auydr dlnh sd : 6982/OD-UB-AIOr
ngdy 30/09/1995 cio UBNDIhdnh Pl".o.
O Khi nhd nudc thrrc hien quy hooch, chri sE hrlu nhd d, ddt E ph6i chdp hdnh lheo quy d!nh.

. Ronh ddt : Ronh xdy dune .. : Ronh s6n lhugng

: Ronh l0 gidi : Ld drJdng ------:TlmDudng

IV. Nhirng thay il6i sau khi c6p gi6y chrfrng nh$n

NOi dung thay d6i X6c nh4n cua ccr quan

c6 thdm quyen
 t-
I

N6i dung thay d6i vir co so phap ly X6c nhan cua co quan
co thdm quy6n

Nhan tflng cho: bA HU'iNH PHTIONG LAN, TUO, GD VPDKDD IP.HC[4

CMND sO OZZOIZ|84, dla chi: A37 Nam Quang 2, Eriu nee CHI NHAtrttt

phudrng Tdn Phong, gufln 7, Tp.HCM.

Theo hqp rl6ng c6ng chimg s5 4412, ngay

1610212017 tai Vdn Phdng c6ng chimg Hodng
Xudn, Tp. HCM, tru6c bp ngdy 2210212017.
H6 so sO OOtZ:S.TA.001./. "//an@ary

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