Panchayat:Repo18/Law Manual Page0829

APPENDIX-A [See 7(1) and 134 (1)] ................Panchayat APPLICATION FOR PERMIT/REGULARISATION Name in Capital Letters 2. Address (i) Permanent (ii) To which communication are to be sent : Nature of development/construction (1) Division of plot (ii) New construction Reconstruction (iv) Alteration 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.