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CLU Application Part - II

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20 views

CLU Application Part - II

Uploaded by

j.prasannanjaneyulu131
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHANGE OF LAND USE (CLU) APPLICATION AND SCRUTINY FORM

PART - II TO BE FILLED BY THE LOCAL BODY

File No.
Name of the Local Body - Date

Ref: Date

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 A.P Building
Rules-2012

J ASSESSMENT REPORT FROM TRAFFIC POLICE DEPARTMENT


Whether the
YES No
assessment report
from the concern If yes, give the details and specify the action taken:
Traffic Police
Department is enclosed
( In case CLU proposed
for commercial use /
Institutional use )

k DETAIL REPORT FOR ACQUISITION OF THE LAND


Whether the detailed
YES No
report for acquisitionof
the land in case of the If yes, give the details and specify the action taken:
site is earmarked for
public and semi public
use.

L FEE PARTICULARS

M DOCUMENTS TO BE ENCLOSED
Resolution of the Local Body No
1
Date
Recommendation of the Council Resolution of the
2
Local Body / Gram Panchayat
Objection on the proposed activity by neighbors if any
3

Whether all the required documents as stated at part -


4
I is enclosed, if not specify the details
N DETAILS OF TECHNICAL SCRUTINY
Sl.
Description Remarks
No.
Ownership details
1

Master Plan ( GTPS)/ ZDP Details & Zoning


Regulations
2

Access

Ground Position & Surrounding details

Restriction of Building Activity in the site &


Vicinity Area.
5
( vide rule (3) of A.P Building Rules - 2012)

Assessment from Traffic Department


6

Detail report for Acquisition of the land


7

Fee Particulars
8

O REMARKS OF THE LOCAL BODY


Justification for suggesting the change of land
use with respect to overall impact on the
surrounding area ( To be sumitted by the Town
1 Planning Staff in Municipal Limits)

Signature and Date


Remarks & Recommendations of the Town
Planning Section Head in Municipal Limits.

Signature and Date


Remarks & Recommendations of the
Commissioner / Panchayat Secretary.

Signature and Date

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