ANNEXURES TO GOMs.NO. 168 MA & UD, DATED: 07.04.2012

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339DSl.NoDETAILS OF THE LICENSED TECHNICAL PERSONNEL:Name Address License No.1…………………………………Builder / Developer23…………………………………Architect/ Engineer/ Surveyor…………………………………Structural EngineerCERTIFICATEI/ we declare that I am / we are the absolute/ owner/ owners/ lessee of the land on which I/we intend to erect the Buildingand am / are enclosing copies of relevant document of ownership/ lease certified by Magistrate/ Notary public/ a GazettedOfficer authorized by the Commissioner in this behalf.I/ we have gone through the Building Regulations made under the provisions of the A.P. Building Rules-2012Aand havesatisfied myself/ ourselves that the site and building plans are in accordance with provisions contained therein.Sl.No.Name of Owner / Developer / License TechnicalPersonnelSignature1 .....................................................................Owner / Owners / Lessee / Authorised Agent2 .....................................................................Builder / Developer3 .....................................................................Architect/ Engineer/ Surveyor4 .....................................................................Structural Engineer
340APPENDIX –IINotarised under taking to be executedOn Rs.100/- N.J. Stamp PaperROAD WIDENING UNDERTAKINGThis undertaking is executed on this the …………….................... day of ……….……………………by………………….…………………………………W/o.………………………………………R/o………………………………. Situated at…………………………………………………………….. herein after called the 1 st party which term shall include theirlegal heirs, successors, assigns and tenants in favour of the Commissioner, …………………………(ULB), hereinafter called the 2 nd party which term shall include his representatives, agents, officials, staff of…………………………(ULB).WHEREAS, the 1 st party has applied to the 2 nd party for permission to construct residential /commercial………………………………… consisting of ……………..……… ……………….floors at Plot /H.No.………………………………………………… situated …………………. ……………………………. WHEREAS,the 2 nd party arty has put in a condition that:The land and the existing structures are/is getting effected in road widening throughout the frontage of theplot admeasuring………….Sq.m should be surrendered to the …………………………(ULB) for road wideningbefore releasing the approved plan free of cost without claiming any compensation towards the land and thestructures existing on the road widening site.The first party in token of accepting the above conditions hereby undertake that they are herewith handingover the physical possession of the strip of land to the Commissioner, …………………………(ULB) on this day of…………………… at free of cost before commencing the construction without claiming any compensation towardsland and structures. The above undertaking is executed by me with free will and due consciousness for havingobtained permission for the construction of residential / commercial building in the Plot / H.No.…………………………………………… situated at ………………………Witness:Parties of 1 st part1) 1)2)Sworn & signed before me.Notary
Page 1 and 2: 322ANNEXURES TO G.O.Ms.NO. 168 M.A.
Page 3 and 4: 324ANNEXURE - VII(Rule-3(i)LIST OF
Page 5: 338APPENDIX - I………………
Page 9 and 10: 342APPENDIX - IVNotarised under tak
Page 11 and 12: 344APPENDIX - VUnder Taking by Owne
Page 13 and 14: 346The 1 st party in token of accep
Page 15 and 16: 348I, the above named deponent do h
Page 17 and 18: 350APPENDIX - IXToThe Commissioner,
Page 19 and 20: 355APPENDIX - XII………………
Page 21 and 22: 358APPENDIX - XIVFILE No.Name of th
Page 23 and 24: 3608 Licence copy of the Builder /
Page 25 and 26: 362PART: IV TECHNICAL INFORMATIONA
Page 27 and 28: 364applicant in full extent. If yes
Page 29 and 30: 366courtyard or interior open space
Page 31 and 32: 368D GROUP DEVELOPMENT SCHEMES [vid
Page 33 and 34: 3703 124 ORGANISED OPEN SPACEaPermi
Page 35 and 36: 372PART VIIIFEE INFORMATIONS.No.Cat

ANNEXURES TO GOMs.NO. 168 MA & UD, DATED: 07.04.2012

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