APPENDIX A-1
FORM FOR CONSTRUCTION OF BUILDING OR LAYOUT OF BUILDING /GROUP HOUSING
Application for permission for development under Section 44 / 58 of The Maharashtra Regional and Town Planning Act,
1966 read with Section 189 of the Maharashtra Municipal Councils, Nagar Panchayats and Industrial Townships Act, 1965.
From: VIDYADEVI AGRAWAL
To,
The Chief Officer,
Wardha Municipal Council
Sir,
I intend to carry out the under mentioned development in the site/plot of land, on Plot No.1242 , Town and Revenue S.No.
1B, City Survey No. 1B, Mauje Wardha situated at Road / Street Sudampuri , Society Sudampuri in accordance with
Section 44 / 58 of the Maharashtra Regional and Town Planning Act, 1966 read with Section 189 of the Maharashtra
Municipal Councils, Nagar Panchayats and Industrial Townships Act, 1965.
I forward herewith the following plans and statements (Item 1 to 6) wherever applicable in quadruplicate, signed by me
VIDYADEVI AGRAWAL and the Architect (License /Certificate No. CA/2015/73121) who has prepared the plans,
designs and a copy of other statements /documents as applicable.
1) Key Plan (Location Plan).
2) Site Plan (in quadruplicate) of the area proposed to be developed
3) A detailed building plan (in quadruplicate) showing the plan, section and elevations of the proposed development work.
4) Particulars of development in Form enclosed (to be submitted for development other than individual buildings).
5) An extract of record of rights, property register card (any other document showing ownership of land to be specified)
along with consent of co-owners where third party interest is created.
6) Attested copy of receipt of payment of scrutiny fees
7) Latest property tax receipt
8) No Objection Certificate, wherever required.
I request that the proposed development/ construction may be approved and permission accorded to me to execute the work.
Signature of the Licensed. Signature of Owner
Surveyor/Architect Name and address of Owner
Dated______ : Dated______
Signature of the Licensed. Address of Owner______