Panchayat:Repo18/Law Manual Page0829

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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

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.