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Clu

The document is a checklist for applicants seeking permission for a change of land use, detailing required documents such as the prescribed form, title deed, revenue documents, and project reports. It also specifies additional requirements for industrial, institutional, and fuel filling station uses. Each item includes a space for the applicant to indicate whether the document is attached or not.

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Johan Guass
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39 views3 pages

Clu

The document is a checklist for applicants seeking permission for a change of land use, detailing required documents such as the prescribed form, title deed, revenue documents, and project reports. It also specifies additional requirements for industrial, institutional, and fuel filling station uses. Each item includes a space for the applicant to indicate whether the document is attached or not.

Uploaded by

Johan Guass
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

CHECK LIST OF DOCUMENTS REQUIRED TO BE ATTACHED ALONG WITH

APPLICATION FOR GRANT OF PERMISSION FOR CHANGE OF LAND USE

Sr. Description Applicant Remarks


No. Document Attached (Yes / No)
1. Prescribed Form CLU-I YES NO

2. Address, Email YES NO

3. Scrutiny fees @ 10 per square meters


YES NO
on the gross area of the site
4. Survey plan of the land on a scale of
YES NO
1” to forty feet showing the existing
means of access to the said land.
5. Copy of the deed showing the title of
YES NO
the applicant to the land
6. Revenue Documents:-
YES NO
a. Jamabandi
b. Mutation
c. Aks Shajra Plan issued by
Halka Patwari
7. Total estimated cost of the project and
YES NO
project report
8. Paid up capital in case of company
YES NO
and in case of individual, total means
of finance available for implementing
the project
9. Memorandum and article of
YES NO
association in case of company
10. Access permission from NHAI, if site
YES NO
is situated on National Highway and
from XEN PWD(B&R) in case of site
abutting schedule roads
11. Copy of PAN in case applicant is
YES NO
Individual
12. Authorization of signatory through Board
resolution (in case applicant is a YES NO
company / trust / firm / Partnership
firm etc.
13. Affidavit/GPA/SPA in case of individual
YES NO
(OPTIONAL)
14. Affidavit of KARTA in case of Hindu
YES NO
Undivided Family
15. Land schedule (to be uploaded in excel
YES NO
sheet)
16. In case of Industrial use following
YES NO
documents are required:
a. registration as SSI/medium/large
scale industries with the
Industries Department
b. NOC from Pollution Control
Board in case of polluting units
which have not been included in
the list of white, green and
orange category of industries,
circulated by Haryana State
Pollution Control Board
17. In case of institutional use
YES NO
following documents are required:
a. Genuineness certificate issued
by the concerned Deputy
Commissioner
b. Technical capacity to run the
institution
18. In case of Fuel Filling Station
YES NO
following documents are required:
a. Letter of intent issued by Oil
company
b. Copy of approved site plan
approved by PWD(B&R), if it is
applicable
19. Indemnity Bond
YES NO

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