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 Carpet Area
Basement/Cellar floor
.........................
Ground floor
First floor
.................................
...............................
...................................
Dashbone Total Area
Inserted by S.R.O. No. 26/2014, w.e.f. 13-1-2014.