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Coimbatore City Municipal Corporation - Town Planning
C.F No.11 Cost of Form Rs.100/-
No.
Coimbatore Corporation
Application for approval of layout under sec. 251 (1) of Coimbatore City Municipal Corporation Act 1981
Form1
APPLICATION FOR LAYOUT
From


To
The Commissioner
Coimbatore Corporation.
Sir,
I hereby give notice that I intend to lay out / make new street / convert the land measuring __________________ situated in T.S. No. / S.F. No. _________________________ Block No. ________________ Ward No. ___________________ / _________________ village. I send herewith five copies of the following plans and five copies of statements signed by me and the Licensed Surveyor Thiru ____________________ who has prepared the plans and copy of other statements.
  1. Location Place (Key Map)
  2. Site Plan
  3. Layout Plan
  4. Ownership Document
  5. Affidavit and Indemnity Bond under Tamil Nadu Urban Land (R ) Act.
  6. Form of Particulars
I request you to approve the layout. An amount of Rs.________________ (Property of estimated cost of providing amenities as per the alignment width and length of roads as proposed) has been remitted in Corporation in Chalan No. __________________ dated ________________
Yours Faithfully,
FORM GIVING PARTICULARS TO ACCOMPANY LAYOUT APPLICATION
1.
Total extent of the land to the land to be laid out or to make a new street T.S. No. S.F. No. and ward No./ village name:    

2.

Name of describe the means of access    
With of the means of access    
Is the means of access an old existing public street or it is an approved layout     
Is the means of access under the maintenance of Corporation or highways Department   
3. The distance of the boundary of the land from the following if any:

Railway line    
Burial Ground   
Quarries   
Water bodies not being field channels     
4.
Total No. of sites proposed with percentage to total area    
Area set apart for roads with percentage to total area     
Area set apart for common public purpose with percentage to total area     
5. Does the land lie in any detailed  development plan:
Is the detailed development plan draft or sanctioned one     
Does the proposal affect any proposed road alignment or serration in detailed development plan     
If so, has it been shown correctly and distinctly mentioned in the site plan.      
I, __________________________________ hereby declare that I am the owner in procession of land in the T.S. No. / S.F. No._____________ of S.W. No. _____________ / village _____________________ on which the layout / new street is proposed and that the statement made in this form are true and correct to the best of my knowledge.
Date:
Address:
Signature of the Owner
CERTIFICATE BY LICENSED SURVEYOR
I ________________________ (Name) have been employed by the applicant and I have carefully perused his ownership document of the land, surveyed, peg-marked the boundaries, prepared the plans and do hereby certify that I have personally verified and declared all statements made by the owner who is the owner in possession of the land in the above form and found them to be correct.
Date:
Address:
Signature of Licensed Surveyor