ULHASNAGAR MUNICIPAL CORPORATION CITIZEN FACILITATION CENTRE SUBJECT: LAYOUT APPROVAL Token Number (For Office Use) Date:- / / (If Citizen Identification Number is given, do not fill below Details) Applicant's Details: Last Name/ Surname Name Father/Husband's Name Details of Society (If Application from Society): Name Of Society: Designation Address: Head Information House/Building/Soc. Name: Flat/Block/Barrack No.: Wing/Floor: Road/Street/Lane: Area/Locality/Town/City: Taluka: Pin code: Ward Committee No.: 1 [ ] 2 [ ] 3 [ ] 4 [ ] Electrol Panel No.: Telephone No. (if any): Contact Person: Email Address (if any): Information of Property: Head Information Type of Property (Please Tick [?] as applicable) [ ] Land [ ] Building Property Number (Computerized) Name of original owner Name of Power of attorney holder (if any) Town/City: Survey/Block/Barrack No.: C.T.S. No.: Part No./Sheet No.: Plot No./Unit No.: Area of Land (sq.mtr.) Road/Street/Lane: Ward Committee No.: 1 [ ] 2 [ ] 3 [ ] 4 [ ] Citizen Identification Number Necessary Particulars about above service: Head Particulars 1 Name of the Company of Architech/Engineer Surname Name Father/Husband's Name 2 Name of licensed Architect/ Engineer 3 Address of licensed Architect/ Engineer Pin 4 License Number of Architect Date: 5 Type of plan / layout for approval [ ] Residential [ ] Non Residential/Commercial [ ] Mix 6 Whether natural flow of nalla or its signage are observed ? [ ] Yes [ ] No 7 (Fill if answer of Sr. 6 is 'Yes') Whether any arrangement is proposed to drain out water in the right / proper direction ? [ ] Yes [ ] No Proposed ground level Proposed top level of nalla Proposed top (width) of nalla Proposed bottom (width) of nalla Proposed plinth level Proposed formation level 8 (Fill if answer of Sr. 7 is 'Yes') Proposed arrangements. (Write measurements in meters) Proposed length of nalla 9 Total number of buildings mentioned in layout Necessary Enclosures related to above application are enclosed as under. (If enclosed tick [ ? ] or not enclosed tick [?] ) Enclosures Yes/No 1 Attachment for Layout Approval (Appendix 'A' of D.C. Rules) [ ] 2 Certificate of architect (Appendix 'B' of D.C. Rules ) [ ] 3 7/12 Extract of land within 3 months period from the date of application / Extract of Property Register Card [ ] 4 Extract of all mutations taken place from 1/4/1957 [ ] 5 Certificate issued by Competent authority for revoking the conditions on land for conditional land. [ ] 6 Title & Search Report from competent Advocate [ ] 7 One Tracing & Two Amonia copies of the measurement map issued by the TILR showing boundries of the land regarding latest Hissa Number. / Latest measurement map form the office of District Land Record. [ ] 8 One tracing & Two Amonia copies of Hissa wise - Gutbook extract from TILR [ ] 9 If applicant's area is less than ceiling limits then affidavit on Rs.20/- stamp paper mentioning the same. [ ] 10 If applicant's area is above ceiling limits then order and map issued under ULC Act . [ ] 11 If applicant is not owner then Power of Attorny of the original owner [ ] 12 Assurance letter for handing over the area; covered under various reservations of Development Plan and DP Roads, to Corporation. [ ] 13 Seven copies of map prepared by licensed Architect/Engineer & duely signed by Owner/Power of attorny holder. [ ] 14 Appointment letter of licensed Architect/Engineer issued by owner [ ] 15 Acceptance letter of Licensed Architect/Engineer [ ] 16 Three copies of map showing proposed gutter & nalla for Stromwater Drainage Department [ ] 17 Three copies of map showing proposed building construction & surrounding area for Underground Drainage Department. [ ] Declaration I/We..................................................................................................state on solemn affirmation that the above information is true and correct with the best of my knowledge. If the information given is found wrong then I/We shall be held legally liable for its consequences. Date:- Applicant's Signature ( ) The document may please be delivered to:- 1 Self/Nominated Person [ ] a) C.F.C. [ ] b) Camp No. [ ] Name of Nominated Person (________________________________________________) 2 By Post a) U.P.C. [ ] b) Register A.D. [ ] 3 Courier [ ] (Not to be filled if address is same as above) Correspondence Address:- Last Name/ Surname Name Father/Husband Name House/Building/Soc. Name: Flat/Block/Barrack No.: Wing/Floor: Road/Street/Lane: Area/Locality/Town/City: Taluka: Pin code: Email Address (if any):
