Panchayat:Repo18/vol1-page0831
APPENDIX-A
[See 7(1) and 134 (1)]
....................................................Panchayat
APPLICATION FOR PERMIT / REGULARISATION
1. | Name in Capital letters | : |
2. | Address | : |
(i) Permanent | : | |
(ii) To Which Communication are to be sent | : | |
3. | Nature of development/construction | : |
(i) Division of plot | : | |
(ii) New construction | : | |
(iii) Reconstruction | : | |
(iv) Alteration | : | |
(v) Addition/Extension | : | |
(vi) Digging of well | : | |
(vi.a) Hut | : | |
(vi.b) Compound wall | : | |
(vii) Change in occupancy | : | |
(viii) Erection of Telecommunication tower /other structure | : | |
(ix) Demolition | : | |
4. | Details of plot | : |
(i) Survey Number | : | |
(ii) Extent | : | |
(iii) Nature of ownership | : | |
(iv) Number and date of deed / document | : | |
(v) Registrar's Office | : | |
(vi) Sub Division | : | |
(vii) Ward Number | : | |
(viii) No. of the nearest building | : | |
(ix) Revenue Village | : | |
(x) Taluk | : | |
(xi) District | : | |
5. | Occupancy | : |
(i) Residential Group A1 | : ........................................ | |
(State the number of dwelling units also) | ||
(ii) Non residential/Others (Please specify) | : ........................................ | |
6. | Whether Government or Quasi Government | : |
7. | (i) Plinth area of the proposed building | : |
(ii) Details | : |
FIoor | Area in sq.metres | |
Plinth Area | Carpet Area |
Basement/Cellar floor:
Ground floor :
First floor:
.....................
.....................
Total Area: