| 1. |
Nature of construction |
: |
|
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a) New construction |
: |
* b)
Alteration and /or / additions to existion building.* |
| 2. |
Place of construction |
: |
______________________________________(Urban/Rural *) |
| 3. |
Type of construction |
: |
|
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a) Residential quarters |
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i) Family quarter __________________________________________________________________ |
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ii) Non family dwelling places (Such as hostels, dormitories
and Lodging Hostels and Clubs) |
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_____________________________________________________________________________ |
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b) Industrial buildings (Factories, Plants, Workshop etc.)
__________________________________ |
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c) Commercial buildings (Shops, warehouse; Offices Public
garages etc.)______________________ |
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d) Institutional buildings (School, Hospitals and dispensaries,
religious building etc) |
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_______________________________________________________________________________ |
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e) Other building (Public buildings, Public libraries, amusement
building, etc.) |
| 4. |
Total plinth area __________________________________________________________(in
meter's) |
| 5. |
*Estimated/Actual cost of construction Rs. _______________________________________________ |
| 6. |
Total floor area in all floor (including basement, If any)____________________________________ |
| |
________________________________________________ sq. Meters |
| 7. |
Number and type of drilling unit in the construction. |
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_______________________________________________________________________________ |
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Number and dwelling units
Alteration and/* or
New construction addition to existing
Resulting in dwelling Units. |
|
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_______________________________________________________________________________ |
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1.- room units |
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2.- room units |
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3.- room units |
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4.- or more room units |
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_______________________________________________________________________________ |
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(Particulars for the following applying for occupancy certificate
only) |
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8. Number and date of issue of Authorisation certificates
__________________________________ |
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9. Date of commencement of construction ______________________________________________ |
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10. Date of completion of construction __________________________________________________ |
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Date __________________________(Signature of the applicant) |
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|
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Name and address of applicant |
|
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For office use only) in block letters |
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Reference number of application |
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Number and date of issue of Authorisation/occupancy certificates |
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Strike off the alternative not required. |
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