Panchayat:Repo18/vol1-page0833
APPENDIX.A1
FORM OF APPLICATION FOR CONSTRUCTION IN PLOTS 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;