Annexure B Application number (as generated online) APPLICATION FOR REGULARIZATION OF PLOTS/ BUILDINGS IN UNAUTHORIZED COLONIES To Competent Authority,

G L A D A , Ludhiana

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Name of the Applicant(s) Father's Name Mobile/Phone No. Email id, if any Permanent/ Postal Address

Detail of Colony in which the plot/ building falls Year of establishment (Tick the correct) Name of the Colony Type of colony (Resi/ C o m m / Ind etc) Whether within M C limits or outside Location of the colony Before 17.08.2007 After 17.08.2007 or

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Revenue Estate of Village Tehsil District Detail of plot/ building Plot Number (if any) Location of the plot Khasra Nos of the site (optional) Width of abutting street/ road (in feet) Plot size (in sq yds) with dimensions (in feet) Land use of plot i) Single - Resi, C o m m , Ind, Institutional ii) Mixed - % resi % comm., % Ind, % Institutional Status of plotType of building (if built up) Vacant Built up

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Year of purchase and building construction as a proof

Electricity/ Water supply/ sewerage connection/ registered sale deed/ full and final payment agreement (attach any document)

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Number of storeys Covered area (in sq feet): Ground Floor First floor Second Floor and so on Total covered area on all floors

Documents attached i. Proof of ownership viz., Registered Sale Deed, full and final payment agreement/ agreement to sell on stamp paper, Power of Attorney to sell, Fard Jamabandi of the time when such plot/ building was sold/ developed and the present jamabandi, if applicable. ii. Location plan showing the adjoining plots/ buildings with number of plot or name of the owners iii. For plots upto 750 sq yds residential-Fully dimensioned Building Plan showing detail of constructed area on all floors signed by the owner and for plots above 750 sq yds residential and all other buildings shall be duly signed by a qualified architect and the owner. iv. Recent photograph of the building v. Structural Safety Certificate duly signed by a Structural Engineer in case of residential plots above 750 sq yds and all other buildings vi. In c a s e of high rise buildings, the clearance from Airport Authority of India shall be mandatory, if the building falls in the air funnel of the Airport/ Air Force Station. vii. Documents mentioned at Sr. No 7(ix) viii. Any other document if required Demand Draft a) For outside MC limits: In the name of concerned Chief Administrator of the Development Authority b) Within MC limits: concerned Municipal Commissioner for Corporation towns and concerned Executive Officer of Municipal Towns Amount in rupees D.D. No. Date

Tick against the d o c u m e n t s a t t a c h e d

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Name of drawee Bank & Branch

Certificate to be submitted by the Applicant i) I hereby certify that the Site Plan/ Building Plan and the particulars furnished above are true and correct. I declare that my site does not fall in such area which is prohibited as per para 6 of the policy. In the event of the particulars furnished in the application are found to be incorrect, my application may summarily be rejected and I am liable for action by the Competent Authority a s per the rules. ii) I hereby further undertake to pay Composition Fee and Regularization Charges or any other charges levied by the Government and to make necessary amendments in the Building plan, if required. Place