FORM CLU-I
(See rule 26-A)
Form of application by a person other than coloniser for permission under section 8 of the
Punjab Scheduled Roads and Controlled Area Restriction of Unregulated Development Act,
1963,
To
The _____________________,
____________________________, (Department Name)
Haryana,
Controlled Area : _______________________________________
Sir,
I/We/It, ___________________ S/W/o ____________________ R/o
______________________________________________________________________________
, beg to apply for permission to change the existing use of Land measuring
___________________________________________ (as per detail hereunder) for the purpose
of developing the land into buildings for _________________________.
Land Schedule
Khata Mustil Killa
Village No. No. No. Total Area Area Applied
In sq
Kanal Marla Acre Kanal Marla Sarsai Acre mtr
I/We/It, ___________________ S/W/o ____________________ R/o
_____________________________________________________________________________,
enclose the following documents in triplicate.
1. A survey of the land on a scale of 1” to forty feet showing the existing means of access
to the said land.
2. Copy of the deed showing the title of the applicant to the land.
3. Sazra Aks.
4. Jama-Bandi & Mutation and Deed Copy
5. Indemnity Bond.
6. Affidavit
7. Pan Card, and Aadhar Card Copy
8. Project Report
9. Scrutiny Fee @10/- Sq. Mtr.
Yours faithfully,
Applicant Name and Address
Email
Phone no.
Dated:- ___________________
Place:- ___________________
