Panchayat:Repo18/Law Manual Page0830

8. Maximum height of building in metres  :

               [as per rule 2(1)(ba)]

9. If the application is for regularisation

                                 (i) Whether completed or not                                           :
                                (ii) If not completed, the stage of construction                   :

10. Details of Permit/ Approved Plan already obtained  :

11. Name and address of the Developer if any  :

12. Details of fee paid

              (i) Amount (in Rupees)                                                                       :
             (ii) Number and date of receipt 

13. [Details of ownership documents,

         drawings, certificates etc. as
        
        specified in these Rules]
DECLARATION

I................, hereby declare that, the measurements, specifications and other details and specifications mentioned above are correct, complete and true to the best of my knowledge and belief and that I shall abide by the approved plan and the provisions in the act and rules in undertaking the construction.

                                                                                                                                                                 Signature of the Applicant with name
 Place: 
 Date :
CERTIFICATE
 Certified that, the site plan is prepared after verification of the ownership document and the site and the measurements shown are found to be correct.
                                                                                                                                Signature
                                                                                                                                
                                                                                                                                Name: 
                                                                                                                                Register Number:
                                                          
                                                                                                                                Address:
                                                      (Registered Architect/ Building Designer / Engineer/ Town Planner/ Supervisor) 
                                                                                                                                 Place:
                                                                                                                                 Date :
CERTIFICATE


                Certified that the building plan is prepared in accordance with the provisions of the Kerala Panchayat Building Rules, 2011, Kerala Panchayat Raj 1994 and the provisions contained in the sanctioned Town Planning Schemes.
                                                                                                                                         Signature
                                                                                                                                          Name: 

Register Number: Address: (Registered Architect/ Building Designer / Engineer/ Town Planner/ Supervisor) Place: Date : UNDERTAKING ...hereby undertake that the building construction / land development will be carried on / being carried on/ was carried on as per the approved plan and permit in accordance with the rules in force. Signature Name: Register Number: Address: (Registered Architect/ Building Designer / Engineer/ Town Planner/ Supervisor) Place: Date :

    1. Substituted for Details of documents, Plans, Certificates etc. enclosed" by S.R.O. No. 26/2014, w.e.f.

13-1-2014.