APPENDIXA1
FORM OF APPLICATION FOR CONSTRUCTION INPLOTS PARTS OF WHICH HAVE BEEN SURRENDERED FREE OF COST FOR ROAD DEVELOPMENT
(See Rule 77(1))
(To b submitted along with the Application for permits)
................................................. Panchayat
1.Name of applicant (in Capital letters) :
2.Address
(i) Permanent :
(ii) To which Communications are to be sent
3.Details of land surrendered under Rule 77 (1)
(i) Details of Town Planning Schemes as per rule 77(1)(a)
(a) Name of the Town Planning Scheme
(b) Name of the Road Development Project
(c) Present state of implementation
(d) Zoning provisions of the Scheme
(e) Other provisions of the Scheme
(ii) (a)Name of Scheme applicable as per Rule 77(1)(b)
(b) Implementing Agency : Local Self Government Institution /
Development Authority / Government
Dept./Quasi Govt. Organisation /
Institution / registered Residents
Association/Social Welfare
Organisation(please specify:....................................... )
(c) Present stage of implementation
(iii) Extent of land in Sq. metres (enclose sketch with all detailed measurements)
(a) Total
(b) Required for implementation of the Scheme in total from the plot
(c) Surrendered free of cost for the scheme :
(d) percentage of land surrendered
(iv) Survey No. of surrendered land
(v) Name of the owner of the land so surrendered
(vi) Details of relinquishment : (enclose copies of relinquishment)
4.Applicability of Special Provisions
Item Required Permissible as Required/Permissible Remarks of the
per general provisions as per special provisions special Committee
Coverage:
F.A.R :
Set backs :
Height :
Parking;
