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 :
(i) Division of plot
(ii) New construction
(iii) Reconstruction
(iv) Alteration
(v) Addition / Extension
(vi) Digging of well
(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)
Page 103
(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