Panchayat:Repo18/Law Manual Page0829

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

             (1) Division of plot

             (ii) New construction

             (iii)Reconstruction

             (iv) Alteration

            (vi)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 

Details of plot Survey Numbers Extent Nature of ownership (iv) Number and date of deed / document Registrar's Office (vi) Sub Division (vii) Ward Number No: of the nearest building Revenue Village (x) Taluk (xi) District Occupancy Residential Group A1 (State the number of dwelling units also) Non residential/Others (Please specify 6. Whether Government or Quasi Government. 7. (i) Plinth area of the proposed building (ii) Details Floor Area in sq.metres Plinth Area Basement/Cellar floor (ii) (v) Carpet Area Ground floor First floor Dashbone Total Area

Inserted by S.R.O. No. 26/2014, w.e.f. 13-1-2014.