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 

4.Details of plot

                    (i)Survey Numbers

                   (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 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.