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    CLU Application Part - I

    Uploaded by

    j.prasannanjaneyulu131

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CLU Application Part - I

    Uploaded by

    j.prasannanjaneyulu131
    10 views5 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    10 views5 pages

    CLU Application Part - I

    Uploaded by

    j.prasannanjaneyulu131

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    CHANGE OF LAND USE (CLU) APPLICATION AND SCRUTINY FORM

    *(USE CAPITAL LETTERS ONLY)


    PART - I TO BE FILLED BY THE APPLICANT AND TECHNICAL PERSONNEL
    Name of the Local Body - Date of
    submission
    Sub: CLU - ………………………………………………………………………………………………… Municipal Corporation /
    Municipality / Nagara Panchayat / Gram Panchayat - Change of Land Use from
    ………………………………………………………………. to ...………………………………………………………… of Zonal
    Development / Master Plan - Reg.
    To
    The Commissioner,
    APCRDA,
    Vijayawada.
    Sir/Madam
    I here by submit an application for change of land use as per the details given below for approval.

    A ADDRESS OF THE APPLICANT

    1 Name

    2 Door No./Flat No.

    3 Road/Street

    4 Village & Mandal

    5 City/ Town PIN

    6 District

    7 Phone / Mobile No.

    8 e-mail

    B. LOCATION OF THE PROPOSED SITE

    1 Plot Nos.
    Sanctioned Layout
    2 No/ U.L.P.No./
    R.L.P.No.
    3 Survey No./Village

    4 Premises / Door No.

    5 Road /Street

    6 Ward Block No.


    7 Locality
    8 Mandal
    City/ Town District
    9
    C. DETAILES OF LICENSED PERSONNEL
    Sl.
    Name Address License No. Validity
    No

    1 …………………………
    Architect / Engineer /
    Surveyor
    D. LAND OWENRSHIP INFORMATION

    Sl. Document Name of the Name of the R.S.Nos / Schedule of


    Extent
    No Vendor Vendee Sy.Nos. Boundaries
    No. Date
    1 2 3 4 5 6 7 8
    E. DETAILS OF THE SITE AREA (m2)
    1 As per Documents As per Submitted Plan Road Widening Area Net Area

    F. MASTER PLAN / ZONAL DEVELOPMENT PLAN DETAILS

    1 Site under reference falls in the Master Plan/ZDP of


    ………………...………………Zone
    Sanctioned
    Status of
    2 G.O.Ms.No. Dt.
    MP/ZDP
    Draft (Formally) Approved
    Land use as per Draft / Sanctioned Master
    3 Plan /ZDP (Enclose land use certificate, if
    available)
    4 Extract of Master Plan / ZDP enclosed YES No
    Land use proposed for change by the
    5
    applicant
    Purpose of Change of land use requested
    6
    (use & type of the proposed building)

    Whether the use and type of the building is


    7 permissible as per ZR/BR in the proposed YES No
    land use requested by the applicant

    G ACCESS (in m)
    Min. Proposed road width Affected in road widening Remarks
    1 Direction required Existing width as per ZDP / MP /
    road width NH/ R & B / ZP / PR Depth(m) Area (Sq.m)

    a North
    b South
    c East
    d West
    Site gets affected in the proposed road widening as per ZDP/MP/NH/R
    &B /ZP/PR
    Affected land already handed over free of cost YES NO
    Road Affected land not yet handed over so far
    2 widening YES NO
    portion Applicant is willing to handover the affected land free of cost,
    YES NO
    if CLU is considered
    YES NO
    Affected land is acquired under LA Act / any other provisions
    H GROUND POSITION DETAIULS (tick ()the appropriate one)
    1 Site falls in Approved layout
    Regularized layout/Plot
    Unapproved layout
    Others (Specify)
    2 Site falls in Congested Area / Abadi
    Development area.
    To be Developed area.
    Others (Specify)
    3 Site falls in Plain Land
    Undulated
    Elevated from road level
    Below the road level
    Others (Specify)
    4 Site enclosed with Fence
    Compound wall
    No Compound wall
    Boundary stones
    Others (Specify)
    5 Site surrounded by (physical features) (photographs shall be enclosed)
    a North
    b South
    c East
    d West
    6 Whether the above
    YES No
    physical features are
    tallying /Not tallying Remarks:
    with the schedule of
    the Documents

    RESTRICTIONS OF BUILDING ACTIVITY IN THE SITE & VICINITY AREA


    I
    (Vide rule (3) of A.P Building Rules -2012)

    Whether the site falls YES No


    in the area where
    there are restrictions If yes, give the details and specify the action taken:
    of building activity as
    per the building rule -
    2012

    J FEE PARTICULARS

    K DECLARATION

    I/we certify that the above particulars submitted are correct.


    I/we shall pay the necessary fees and charges leviable by UDA/LB under the APUA(D) Act,1975
    I/we understand I/we are aware that certain conditions may be imposed while considering the change of
    land use under the above said statutory provisions and I/we assure that I/we comply with the same.
    I/we affirm / declare that I/we would undertake development / construction activity only after change of
    land use orders are issued by the Government and after approval of building plan from the competent
    Authority and shall not violate the same.

    Licensed Technical Personnel


    (Signature and Stamp) Signature of the applicant
    L DOCUMENTS SUBMITTED (Tick Relavent)
    Sl. Document Details Require Not Submitt Not
    No d Require ed Submit
    d ted
    1 CLU Application signed by the Owner & Licenced Technical Personel.
    2 Site Plans 5 Ammonia Prints [Eith CD Soft Copy] drawn to a suitable scale
    preferably 1:200 duly showing
    a North Point
    b Site Boundary Measurements
    c Schedule of Boundaries (Indicate Sy.Nos and Names)
    d Indicate type of road giving access to the site
    (I.e. National High Way / State High Way / M.D.R/Z.P/G.P/Village etc.)

    e Esixting width of access road / roads.


    f Proposed width of the access roads as per Master Plan
    g Affected portion with dimensions and area.
    h Area Statement like Total Area, Road Affected Area & Net Area.

    i HT/LT/Electrical Lines if passing through the site.

    j Existing Drainage and Sewarage etc.,


    k Signed by Owner & Licenced Technical Personnel.
    3 Topo Plan 5 Ammonia Prints [with CD soft copy] to be drawn to a suitable scale
    preferably 1:800 duly showing
    a Existing physical features with in the radius of 500m from the centre of
    site
    Site duly showing the LandExisting
    Boundary-Red Use in roads-Yellow
    colours as given below:
    Proposed-Red
    Residential use-Orange Commercial-Blue Industrial-Violet

    Parks & Playgrounds- Water Bodies-Sky Blue Drains-Brown


    Green
    Affected Portion-Hatched with Red
    b Distance from FTL of the Water Body / Revenue boundary to the site

    c Boundary and Extent of such Water Bodies shall also be indicated

    d Distance fro Railway Boundary / Property shall be clearly indicated


    e Distance from Heritage / Religious premises shall be clearly indicated

    f Distance from Reserve Forest Boundary shall be clearly indicated


    g Distance from Defence area, if any

    h Distance from Oil/Gas Pipeline


    i Distance from Wet Lands
    4 Ownership Documents (a or b) (Attested by Gazetted Officer)
    a Copy of Registered Sale Deed

    b Pattadar Pass Book / Title deed issued by Revenue Authorities


    c Pahanies issued by Tahsildar
    d Development Agreement of Sale cum General Power of Attorney
    e Clearance from Competent Authority in case surplus land.
    5 Link documents (Attested by Gazetted Officer)

    6 Latest encumbrance Certificate issued by Registration Department

    7 Latest Photographs (4) showing four sides of the site (compulsory)

    8 F.M.B.Skecth / Tounch Map duly showing the site U/s duly signed by the Town
    Surveyor / Tahsildar

    9 Extract of Master Plan / Village map duly showing the site under reference

    10 Previous Sanctioned Plan Copy ( If the existing building was sanctioned )


    11 Approved layout copy if the site falls in Approved Layout.
    12 Whether any CLU was approved by the Govt.in the above survey numbers or
    adjoining survey numbers. If so copy of G.O., issued to be enclosed.
    13 a NOC from Irrigration Department, if there are water bodies within /
    adjacent to the site duly certifying sketch plan showing the respective
    destance from the FTL Boundary
    b NOC from Revenue Department, if there are water bodies within /
    adjacent to the site duly certifying sketch plan showing the respective
    destance from the FTL Boundary
    14 NOC from Railway Authorities if the site is falling within 30m from the Railway
    Boundary / Property

    15 NOC from Oil/ Gas Pipeline company, in case of the site is located in the vicinity
    of Oil/Gas pipe line.

    16 NOC from the Defence institutions, in case the site is located within 500 mts of
    Military / Defence institutions.
    17 Extract of Google Map duly showing the site under reference.
    18 Licence copy of the Technical Personnel issued by Concerned Authority.

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