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These applications shall be submitted to respective Municipal Commissioner / Panchayath Secretary

Forms for Municipalities:

Building Application:
A P P E N D I X - 'A'
[Rule 2(1)]
. Municipality
Ten Paise Court fee stamp to be affixed here
(application under Section 209, 216, 220, 225 or 227 as the case may be of the Andhra Pradesh Municipalities Act 1965)
From
Name of owner of the
Land and building. :
ADDRESS :
To
[ Commissioner],
________________ Municipality,
Date:
Sir,
I intend to construct/reconstruct/make alterations or additions to a building other than a hut, in the site or plot of land, Town or Revenue Survey No. street or road
named in the Ward or Division and in accordance with the provisions of Section .. (Section 209, 216, 220, 225 or 227 as the case may be) and rule 3 of the
Building Rules, I forward herewith in triplicate:a. A site plan of the land on which the building is to be constructed/reconstructed/altered or added to (complying with the requirements of Appendix - 'C' of the
Rules).
b. A plan or plans of the building showing a ground plan, plan of each floor elevations and section (complying with the requirements of Appendix - 'C' of the
Rules), and
c. A specification of the work (complying with the requirements of Appendix - 'D' of the Rules).
I intend to use the building only as dwelling house/not as a dwelling house but for the purpose of ______________________
I request that permission may be accorded to execute the said work.

Signature of the owner of the land and Building

Signature of the Licensed Surveyor, Builder, Architect or Engineer:

CONDITIONS
(i) I agree not to proceed with the execution of the work until approval is given or is deemed to have been given by the Commissioner under section 212 or section 214 of the
AndhraPradesh Municipalities Act, 1965, or permission is granted or deemed to have been granted by the said authority under section 213 or section 214of the said Act.
(ii) I agree not to do any work otherwise than in accordance with the site and building plans and specifications which have been approved, or in contravention of any of the
provisions of the Andhra Pradesh Municipalities Act, 1965, or any rule, bye-Ia order or other declaration made thereunder, or of any direction or requisition lawfully given or
made under the said Act, rules, or bye-laws.
(iii) I agree to make any alterations which may be required by any notice issued or by any order confirmed under section 217 or section 228 of the Andhra Pradesh
Municipalities Act, 1965 as the ease may be.
(iv) I agree to keep one copy of the approved site plan and one set of copies of the sanctioned plans of the building, at the site of the building at all times when the work is in
progress and also agree to see that such plans are available and the building is open at all times for the inspection of the Commissioner or any Officer authorised by it in that
behalf.
(v) I agree to give notice to the Commissioner in accordance with Section 94 nf the Andhra Pradesh Municipalities Act, 1965, and furnish a set of completion plans within
thirty days from the date of completion or occupation of the building, whichever is earlier.
(vi) I also agree not to occupy the building that will be constructed or reconstructed by me, or cause or permit it to be occupied until I have obtained a certificate from an
Officer of the Public Health Department of the Municipality, as required by sections 2~6 and 33 of the Andhra Pradesh (Andhra Area) Public Health Act. 1939.
Signature of the Owner of the Land and the building.

APPENDIX B,

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[Rule 3 (1)]
Application for permission to construct/reconstruct or alter or add to a hut.
To,
The Commissioner,
Municipal Council.
Sir,
I beg to give notice that I intend to construct/reconstruct/make alterations or additions to a hut or huts in S. No. Street Ward and in accordance with the provisions of section
220 of the Andhra Pradesh Municipalities Act, 1965. Information as to the purpose for which the hut is proposed to be constructed, reconstructed or altered or added to, is
furnished.
I forward herewith (in triplicate) a site plan of the land on which the hut is to be constructed, reconstructed, altered or added to complying with the requirements of Appendix
C of the rules as far as may be necessary.

I request that the site may be approved and that permisson may be
accorded to execute the said work.
Signature of the Owner of the Land and hut,
Address

Conditions
(i) I agree not to proceed with the execution of the work until permission is granted or deemed to have been granted by the Commissioner under section 222 or section 223 of
the Andhra Pradesh Municipalities Act, 1965 as the case may be.
(ii) I agree not to do any work otherwise than in accordance with the permission of the Commissioner or in contravention of any of the provisions of the Andhra Pradesh
Municipalities Act 1965 or any rule, bye-law, order or other declaration made thereunder, or of any direction or requisition lawfully given or made under the said Act, rules
or bye-laws.
(iii) I agree to make any alterations which may be required by any
notice issued or by any order confirmed under section 228 of the Andhra Pradesh Municipalities Act, 1965.
(iv) I agree to give notice to the Commissioner in accordance with section 94 the Andhra Pradesh Municipalities Act. 1965 with thirty days from the date of completion or
occupation of the hut whichever is earlier.
(v) I also agree not to occupy the hut that will be constructed or reconstructed by me, or cause or permit it is to be occupied, until I have obtained a certificate from an officer
of the Public Health Department of the Municipality, as required by sections 26 and 33 of the Andhra Pradesh (Andhra Area) Public Health Act, 1939.
Signature of the Owner of the hut.

APPENDIX C
[Rule 2 (2) (i)]
The Site Plan
The site plan should comply with the following requirements
(I) It should be drawn to a scale of not less than 1: 200, provided that where the circumstances as such as to make a smaller scale necessary or sufficient, the plan may, with
the consent of the Commissioner be to a scale of 1 :500.
(2) It should show the boundaries of the site or plot for building.
(3) It should give the survey number of the site or plot.
(4) It should give accurately the dimensions of the site or plot.
(5) It should show the street or streets, with name or names on which the site or plot abuts or those from which access to the site or plot is
proposed to be obtained,
(6) It should give the width of the street or streets on which the site or plot abuts or those from which access is proposed to be obtained.
(7) It should show whether the street or streets on which the site or Plot abuts or those from which access is proposed to be obtained are public or private, and if private what
the names of the owners of the land occupied by them are and whether they have been formed and metalled. The existing. proposed or approved building lines on each side
of the street or streets should also be shown.
(8) It should show the location of the proposed building on the site or plot, and also the location of latrines, urinals, stables, cow sheds, and other appurtenances of the
building, as well as the positions and dimensions of the open spaces including the courtyards left in the site or plot forming the cartilage or appurtenance to the building and
the passage or means of access provided for scavenging purposes.
(9) It should show the positions of wells, tanks, water courses, it any, in the site or plot and within a distance of 25 metres from it in any

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direction.
(10) It should indicate the position and approximate height of buildings within 15 metres of the site or plot.
(11) It should incorporate the positions and sections of trial pits taken within the site or plot describing, so far as may be necessary and possible the exact nature of soil and
sub-soils met him
.
(12) It should, so far as may be necessary and possible, record the water level in the well, in any, on the site or plot or in the adjoining wells, if any, with the date on which
the observation was taken.
(13) It should give the relative levels of the site or plot with reference to the crown of the street or streets on which the building abuts or those from which access to the
building is proposed to be obtained.
(14) It should also show such other particulars required under any bye laws made by the Municipal Council under Section 330 of the Andhra Pradesh Municipalities Act,
1965.
Note : (i) The Commissioner may require the owner to furnish him with any further information which has been omitted to be furnished.
(ii) It shall not be necessary to comply with requirements of items (10) to (12) in the case of an application for the construction or reconstruction of a hut.
(iii) In the case of an application for a hut, only a ground plan and section of the proposed hut showing the position, form and dimensions of the walls, rooms and roof and
the position and dimensions of window or door-ways need be furnished unless otherwise required by the Commissioner,

APPLICATION FORMAT FOR APPLYING LAYOUT

APPENDIX A
(see Rule 3)
layout Applications
(Under sub-section (1) of Section 185 of the Andhra Pradesh Municipalities Act,1965)
To
The Chairman,
Municipal Council,
Sir,
I/We hereby give you notice that I/We intend to utilise, sell, lease or otherwise dispose of my /our land / lands or portions of the same bearing S.No and having an extent of
sq metre in Street / division or ward of the (to be deleted wherever necessary) consequent on their conversion into a building site under Section 184 (1) of the Andhra
Pradesh Municipalities Act, 1965 on payment of the required conversion fee; as sites for the construction of buildings for residential or non-residential industrial, commercial
purposes as indicated hereunder and in accordance with the provisions of Section 184 and 185 of the Andhra Pradesh Municipalities Act,1920 or Section 244 of the Andhra
Pradesh (Telangana Area) District Municipalities Act, 1965 as the case may be.
I/We forward herewith four copies of the site-plans drawn to a scale 1:1,000 and other plans as required under these rules with all particulars required under the rules.
I/We, enclose:
(1) A statement of arrangements made for providing plantation of avenue trees in addition to the arrangements indicated in the plan with reference to clause (c) of
sub-section (1) of Section 185 of the Andhra Pradesh Municipalities Act,1965.
(2) a non-encumbrance certificate from the Registration Department for the lands covered by the layout together with a true copy of the title deed attested by a Gazetted
Officer.
(3)(i) a municipal treasury receipt for Rs being the no interest bearing security deposit fl at the rate of Rs.1.50per Sq. metre as fixed under Rule 5(v) towards fulfillment of
the obligations imposed under section 184 of the Andhra Pradesh
(ii) a mortgage-deed intended in favour of the Municipality hypothecating lands in the layout area of the value of Rs towards security in lieu of cash security and abiding by
conditions prescribed in this regard.
I/We jointly and severally agree to development the roads to the required standard as per the specification prescribed by the Municipality and to provide under ground-storm
water drains through proper culverts and to sewer and lights the area and to carry out all the arrangements to the satisfaction of the Secretary to the Municipality as per the
agreement that will be executed by me/us on intimation.
I/We, hereby undertake not to utilise, sell, lease, or other wise dispose of the land as sites for the construction of residential or non-residential buildings until all the amenities
are provided as indicated in the conditions of the layout either by the Municipality or by me/us as agreed upon through a registered agreement on stamped paper worth of
Rs.3/.
I/We, undertake to hand over to be Municipality the private streets or roads after developing them to the prescribed standards and along with the lads set apart for
parks and play-grounds. Educational institutions or for any other public purpose under clause (b) of sub-section (2) of section 184 of the Act.
I/We, agree to the execution of the drainage works (both sewers as well as storm-water) and lighting arrangement to be carried out by the Municipality at my/our
expense and to that extent I/We agree to deposit with the Municipality before sanction of the layout provisionally estimated cost and meet any unforeseen further
expenditure from time to time as may be claimed by the Municipality.
I am/We are prepared to deposit into Municipal Treasury 50 per cent of the estimated cost of swearwords to be carried out by me/us, as intimated towards the security
deposit (refundable) or prepared to mortgage the plots of an area of equivalent to the security deposit in favour of the Municipality within 7 days from the date of
receipt of provisionally approved layout, and the amount of entire deposit is refundable to me by the Secretary of the Municipality, after consulting the Head of the
Municipal Engineering Department as to the satisfactory execution of work to the prescribed standard after deducting 5 per cent from the deposit towards supervision
charges.
I/We request that the proposed layout may be approved and the permission may be accorded at an early date to enable me/us to proceed with the disposal of lands,
after the execution of the work as agreed to Signature of licensed Surveyor Architect/signature of the owners of land Engineer and addressee(s) owner(s).

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Enclosures: 1 Site-plan in quadruplicate

2.Statement of arrangement for avenue trees.
3.Non-encumbrance certificate.
4.MunicipalTreasuryChallan (or mortgage-deed).
Agreement deed.
APPENDIX D
(See Rule 12(1)1
Agreement Deed
Agreement entered into this between Sri/Smt
herein after called as the first part which term includes heirs and successors and the individual members and the Municipal Council (hereinafter called the Council) as
the second part. Whereby it is agreed to as follows.
1. That Sri/Smt has submitted an application under Section 185(1) of the Andhra Pradesh Municipalities Act,1 965 indicating his/her intention to make layout and from new
private streets or roads and dispose of sites for plotting of the land situated at under Survey No
2 Whereupon the council agreed to grant permission for making private streets and roads and sites for construction of buildings on the aforesaid land with condition that the
cost of entire drainage work, erection of water supply mains and street lighting, (water bound macadam roads, Table drainage) the balance of amount, plots of equivalent
value should be mortgaged at the rate of Rs per sq. meter and the following amenities i.e., asphalt rods, table drains, street light barracks and avenue plantations should be
completed by Sri/Smt (first part) within one year from the date of sanction of layout as per the specifications given by the Municipal Council in their proceedings vide letter
No dated
3. That the first part agreeing to the above conditions has deposited cost drainage and other works amounting to Rs
4. That the first part has mortgaged plots or land bearing Nos and measuring costing Rs in favour of the Municipal Council in lieu of the balance of betterment emerges for
providing water bound macadam roads, table drains, streets light bracket and avenue plantation under a registered mortgage deed No
5. That the first part only (on behalf of the second part undertakes to provides the amenities such as water bound macadam road, public drains and street light water supply
within one year from the date of sanction of the layout as per the specification given by the Secretary to the Municipality.
6. The first part do hereby bind himself/themselves to fulfil the above conditions imposed by the Municipal Council within a period of one year from the date of sanction of
layout, failing which the Municipality will be entitled to withhold the sale of plots and the grant of permission for the construction of house under the relevant provisions of
the Andhra Pradesh (Andhra Pradesh) Public Health Act,1 939, or an other enactment for the time being in force. In case the Party fails to comply with the condition within
the stipulated period the municipality is empowered to take action as per Sections 359,360,361 and 362 of the Andhra Pradesh Municipalities Act, 1965 and auction the
mortgaged plots or land and get the works completed and recover from the first part the excess amount, if any that is incurred and required for completing the works in the
layout. The first part and his heirs shall not be entitled to raise any objection for such recovery.
In witness whereof party I affix my signature on this day already mentioned in the agreement before the following :
1. Witness:
2. Witness
Seal. Chairman, Municipal Council.
Guarantee Deed
APPENDIX E
[See rule I 2(2)J
Guarantee Deed
Rule
No
Whereas is/are required to furnish a Bank guarantee to the Chairman, Municipal Council for a sum of Rs (Rupees )as per the orders of the council sanctioning
layout No Dated in respect of the situated at
I/We hereby undertake to pay to the Chairman the said sum of Rs (Rupees ) on demand. I/We undertake not to revoke the guarantee without a written authority
from the chairman, Municipal Council,
Witnesses
1.
2.
Signature.
Bank
Mortgage Deed
APPENDIX F
[See Rule 12(2)]
Deed of Mortgage by Conditional Sale

This indenture made this day of one thousand nine hundred between

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Sri S/o resident at (herein after called the Mortgagor which expression shall unless excluded by or is repugnant to the subject or
context, include his heirs executors, administrators and assigns) of the one part, and municipal council called "The Mortgagee" which expression shall unless
excluded by or is repugnant to the subject or context, include his successor in office and assign of the other part:
Whereas the Mortgagor is the absolute and sole beneficial owner and is seized, possessed of or otherwise well and sufficiently entitled to the land and premises
hereinafter described in the schedule hereunder written and for greater clearance delineated on the plan annexed hereunto and thereon shown with boundaries
thereof coloured and thereon hereby conveyed, transferred and assured (hereinafter referred to as the said mortgaged property).
And whereas the Mortgagor applied for permission under Section 184 and 185 of the Andhra Pradesh Municipalities Act, 1965, to make a layout and from a new
private street or road and building plots for residential/ non-residential/Industria! purposes, and in the land bearing SNos. situated at
And whereas the Mortgagor having accepted the same has sanctioned the layout Plan/in File No subject to the condition that the following works as per
specifications appended will be completed by
the Mortgagor within one year from the date of release of the approved layout.
(i) Water bound Macadam roads estimated to cost Rs
(ii) Planting of Avenue trees at Metres intervals estimated to cost Rs.
And whereas Mortgager according to the terms and conditions of grant has separately credited Rs. in the municipal treasury through Challan No and dated
towards the following works to be executed by the Municipality within one year of the date of release of the approved layout.
(i) Laying of underground sewers along the or roads of the lay out estimated to cost Rs
(ii) Laying of storm water drain culverts, etc., along the roads of the layout and construction estimated to cost Rs
(iii) Providing streetlights along the street of the layout at metres intervals estimated to cost Rs
(iv) Provision of water supply estimated to cost Rs
And whereas the Mortgagor having deposited 50% of the provisionally estimated cost of works mentioned above and to provide and complete the works as started
in para 2 with a period of one year from the date of release of the approved layout, in addition to the lands expressly conveyed, transferred and assured as per the
description given in the Schedule towards the balance of 50% of the said estimated cost of the works.
Now this indenture a witnesseth as follows:
(i) In pursuance of the rules relating to as the approval of layout (hereinafter referred to as the said rules) and in consideration of the deposit and hypothecating of
the acquired lands by the Mortgagee to the Mortgagor pursuant to the provisions contained in the said Rules, the Mortgage or do hereby convent with the
Mortgagee that the shall always duly observe and perform all the terms and conditions of the said rules.
(ii) With possession of the lands and the deposit in favour of the mortgages if the mortgagor completes the work as stated in para supra to the satisfaction of the
Secretary, with the agreed period of one year from the date of release of the approved layout, the mortgages shall at the cost of mortgagor be entitled to the
retransfer of the said plots or land to the mortgager without my further liability on the same towards the execution of works contemplated in para supra.
(iii) It is hereby expressly agreed and declared that if there shall be any breach by the mortgagor of the convenants it shall be lawful for the Mortgagee to sell the
mortgaged properties or any part thereof in any manners as to the Mortgagee shall think fit and the mortgagor shall forfeit the right of redemption as against the
mortgagee.
(iv) (a) And it is hereby declared that the mortgagee, shall be free to complete the said works with amount so realised and the mortgagee in any court of law.
(b) If the mortgagee has to spend additional amount for execution of the said works over and above the sale proceeds referred to in the above para it shall be
realised from "mortgagor" or the purchasers of individual plots in the said layout area in the same manner as properly tax and the other plots not covered by the
mortgagee will be under the first charge towards the said excess amount spent by the Municipality.
(c) The mortgagor shall separately convey the private streets and roads with the amenities mentioned in paras supra and the sites reserved for parks and
playgrounds, etc., in the layout areas to the Municipality free, of encumbrance at the his cost within a fortnight after expiry of one year period allowed for the
completion of the works either by the Mortgagor or Mortgagee as the case may be.
(d) The mortgagor shall not during the continuance of these present charge, encumber, after or otherwise dispose of the mortgaged property and other plots unless
and until the private streets and roads, and open space intended, for parks, and playgrounds, etc, are conveyed to the Municipality for treating them as public as
indicated in para supra.
(e) That the mortgagee shall be in actual possession of the plots and continue to retain the same till the completion of the said works and the mortgagor shall not
interfere with possession, interest, rights, and title of the mortgagee over the said plots in any ways detrimental to the interest, rights accrued insecurity and change
over the said plots to the mortgagee till the works are completed as agreed upon.
(f) The mortgagor does also hereby agree to the Government Revenue, municipal taxes over the any, till the redemption of the property as the same vests
automatically in favour of the Municipality.
(g) The terms and conditions of this deed are binding and shall continue to be binding on the mortgagor, his heirs, successors in interests, right as well as a title and
ownership and none of them shall be entitled to question the correctness or the genuineness of the terms and conditions of this deed anywhere at any time in any
count.
In witness whereof the said mortgagor here into set his hand the day and the year first above written.
Signed by the said (mortgagor)
In the presence of :
1. Witness:
Address
Occupation
2. Witness:
Address

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Occupation
Signed by Sri in the office of the Municipal Council for and on behalf of the Council in the presence of :
1. Witness:
Address
Occupation
2. Witness:
Address
Occupation
Special Secretary to Government.
Guarantee Deed
"APPENDIX G
(See Rule 5(v)
Guarantee Deed
Whereas is/are required to furnish a Bank Guarantee to the Chairman Municipal Council for a sum of Rs (Rupees as per the requirements under Rule 5 (v) for
sanctioning of a layout in respect of SI No situated at
I/We hereby undertake to pay the Chairman Municipal Council, the said sum of Rs (Rupees ) on demand me undertake notto revoke the guarantee without
written authority from the Chairman/Municipal Council.
Witness
(1)
(2)
Signature
Bank"
(SD)

Section officer.

APPENDIX PROFORMA.
1. Name of the Municipality with Name of the District:
2. Date of submission of layout to the Municipality:
3. Survey number, Block No.and ward no. of the site proposed for layout.
4. Accurate area in Sq.Mts, of the land covered by the layout.
5. A certificate from the Revenue Dept., as to the registration of the land with reference to assessment. (Agricultural or Non-agricultural purposes).
6. If the land is assessed as an agricultural one, whether the party credited the on conversion fees as per schedules fixed by the Municipal Council under
Sec.184 (1) of the A.P M.Act 1965.
7. Whether the party paid the security deposit as indicated under sec. 5(2) (1) read with rule 5(v) of the layout rules.
8. The extent set apart for play ground parks or for other amenities etc., as provision under sec. 184 (1) of the A.PM.Act, read with rule 10 of the layout rules.
9. Whether the proposed roads in layout are so designed to connect at least one and with a street which is already open as indicated under Sec.184 (4) (iii) of
the A.P.M.Act.
10. Copy of the application of the party in the prescribed form indicated in appendix A to layout rules.
11. The site plans and detailed plans shall be one the lines indicated under rule 5(1) to (iv) of the layout rules.
12. The site of the plots proposed on the lines indicated under rule 9 of the layout rules.
13. Whether the lay out is to be approved under the A.P.M.Act or under the A.P.T.P.Act. or under the A.P.T.P.Act also.
14. Whether the proposed layout area falls in any detailed T.P.Scheme and if so to furnish the extract of the same duly locating site indicating the stage of the
scheme.
15. Whether the sanctioned layouts around the site within a radius of 200 mts.of the layout under reference has been developed as per the provisions of the Act,
and if not the present stage may be indicated. In case of default on the party of owners of the layout concerned what action has been taken.,
16. Whether the proposals are being submitted for the first time or for the reference numbers of the earlier layouts be indicated.
17. If it is a revision, the difficulties explained for Implementing the earlier layout may be furnished.
18. In case of revision of the layout already approved by the Director of Town Planning, the reasons in detail for the requisite for such revision shall be stated.
19. Remarks of the Head of the Town Planning section as to the approval of the fresh lay out or for the revision.
20. Opinion of the Municipal Commissioner in this regard.
AGREEMENT DEED
Agreement entered into this
between Sri/Smt hereinafter called as the first part which term includes heir and succcessors and the individual member and the Municipal Councils as the second
part, whereby it is agreed to as follows.
1.That Sri/Smt has submitted as
application under section 185(1) of the Andhra Pradesh Municipalities Act, 1965, indicating his/her intention to make lay out and from new private streets
or roads and dispose of sites for plotting of the land situated at under survey no

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2. Whereupon the council agreed to grant permission for making private streets and roads and sites for construction of buildings on the aforesaid land with the
condition that cost of entire drainage works erection of water supply mains and street lighting., (Water bound macadam roads. table drainage) the balance of
amount, plots of equivalent values should be mortgaged at the rate of Rs per sq. mts and they should be mortgaged at the rate following amenities i.e, asphalt road
stable drains street light brackets and avenue plantations should be completed by Sri/Smt (first Part)
within one year from the date of sanction of layout as per the specifications given by the Municipal Council in their proceedings vide letter No dated
4.That the first part has mortgaged plots or land bearing Nos and measuring costing Rs in favour of the Municipal /councils in lieu of the Balance of
betterment charged for the providing, water bond macadam roads, table drains, street light bracket and avenue plantation under a registered mortgage
deed no
5 That the first part only (on behalf of the second part undertakes to provide the amenities such as water bound macadam road, table drains and street light, water
supply within one year from the date of the sanction of the layout as per the specifications given by the Secretary to the Municipality.
6 The first part do hereby bind himself themselves to fulfil the above conditions imposed by the Municipal council within a period of one year from the date of
sanction of layout , failing which the Municipality will be entitled to withheld to sale of plots and the grant of permission for the construction of houses under the
relevant provisions of the Andhra Pradesh (Andhra area )Public Health Act, 1939, or any other enactment for the time being in force. In case the party fails to
company with the conditions within the stipulated period, the Municipality is empowered to take action as per section 359,360,361 and 362 of theAndhra Pradesh
Municipalities Act, 1965 and auction mortgaged plots or land and get the works completed and recover from the first part the excess amount, if any that is
incurred and required for completing the works in the lay out. The first part and his heirs shall not be entitled to raise any objection for such recovery.
In witness whereof affix my signature on
this day already mentioned in the agreement before the following:
1. Witness:
2. Witness: Chairman,
Municipal Council,
Seal:
ANNEXURE -I
The sites and streets shall be durably demarcated with stones within a period of one month in accordance with the approved lay out plan L.P.No and also streets
formed and made including metalling, sewaring, draining, conserving and lighting and providing culverts as may be necessary to approved levels and width to the
satisfaction of the Executive Authority and in compliance with the requirements of section 184 to 188 of the Andhra Pradesh Municipalities Act, 1965 and handed
over to the Municipality within the time fixed by the Executive Authority from the date of Saoction.
2. The corners of the sites at the Junction of the Streets should be splayed off as shown in the approved plan L.P.No
3. No site shall be sold, leases or otherwise disposed off, no building shall be constructed in any site unless and until conditions (1) AND (2) are complied with.
4. Every building site shown in the approved plan L.P.No shall be utlised for the construction of only dwelling house and no shop godown or any other building
which is not ordinarily connected with dwelling shall be constructed in the site.
5. Only detached dwelling house designed for the occupation of single family shall be built in a sit e and no site shall be altered sub-divided or otherwise utilised
for the occupation of more than one family at any future date.
6. The building lines and street boundary for the respective streets shall be adopted as shown in the approved layout plan L.P.No and when a site abutts more than
none street, the building line shall be enforced in respect of all respects.
7. No other building, other than a boundary wall or fence not exceeding 3 meters above the adjoining street level, shall be built in space between the building line
and the boundary of streets.
a) There shall be building line not less than is indicated in the layout plan.
b) Between a house and the side boundaries of the site, there shall be an open space of not less than and in such sides open space duly weather shades not exceeding
0.8 meters in width will be permitted.
8. There shall be a rear open space not less than left and in such rear open space, a well, latrines, garage, cow shed or other building not intended for human
habitation may be erected, provided that the height of any such structure shall not exceed 10 ft. above the site or ground level and the aggregate area of all such
structures shall not exceed 1/4th of the area of the rear open space and shall not occupy more than 1/ 3rd of the length of the rear boundary of the site.
9. Not less than 50% of the extent of site shall be left as vacant open space. The spaces unbuilt in a site shall be maintained as a garden yard or open space and left
in such a state as not to be a sort of nuisance or annoyance to the sites as not to be a source neighbouing persons using the adjoining sites and streets.
10. Every dwelling house shall be provided with adequate means forthe effective drainage of storm, sullage and sewage water from the premises. The drainage
arrangements and the sanitary convenience shall be in accordance with such conditions designs and specifications as may be laid down or specified by the local
body.
11. All house sullage shall be disposed off in such a manner as to prevent it from running into or stagnating on adjacent streets. It may be used for the watering of
gardens if no nuisance or in sanitation will be created there by or such affluent should be allowed to flow freely into drains or canals after it has been previously
treated sanitarily in any manner required by the concerned Health Officer.
12. The Boundaries and dimensions of sites shall not be altered except with the previous approvals of Director of Town Planning.
13. Except to the extent necessary for the excavation of foundation levelling or sloping of ground, earth shall not be removed from the site for building or for any
other purposes so as to create hollows or borrow pits therein.
14. Shops business promises and industrials units shall not be located any where in the area concerned by the approved layout except in th sites specifically
reserved for such proposals in the approved layout plan.
15. The owner shall give a written agreement to abide by the above conditions and the said or lease of sites shall be also subject to compliance with the above
conditions. The owner shaH be bound to mention it in the sale or lease deed, but the absence of any such mention shall not stand in the way of the Municipal
Authority enforcing the fulfillment of the above conditions or carry out any work itself and recovering the expenses incurred from owner, purchaser, leasor, or
occupier in default as the Municipal Authority may deem fit.

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16. The open space approved for public purpose in the area covered by the layout shall be handed over to the Municipality though a gift deed.
17. The approval of the layout does not barany acquisition for the public purpose either by the Government or any public agency.
18. The approval of this layout does not confer the ownership or later the ownership of the land.
for Director of Town and Country Planning.

FORM -1(D)
Transfer by Gift
THIS INDENTURE made on the day of One thousand d nine hundred and
BETWEEN
son of residing at Kakinada (herein after called the donor" which expression shall where the context admits include his heir executor administrators and legal
representatives of the one part add the Municipal Council of Kakinada constituted under Andhra Pradesh Municipalities Act, 1965 (herein after called "donee"
which expression shall where the contest admits include its successors and assigns) of the others part.
WHEREAS the donor is well and sufficiently entitled free from encumbrances to the piece of parcel of land and premises hereinafter described and intended to be
here by granted conveyed and assigned.
AND WHEREAS the donor has agreed to transfer said piece or parcel of land and promises to the donee as a gift subject to the payment by the donee of all
existing and future taxes charges assessment and ground - rent in respect of the same and the donee has agreed to accept the same subject to such conditions.
AND WHEREAS the said piece or parcel of land and promises is of the value of Rs for the purpose of stamp duty.
NOW THIS INDENTURE WITNESSTH that the donor doth hereby give grant convey and assign unto the donee who hereby accepts the same ALL THAT piece
or parcel of land bearing survey No situated in the
village of in the registration sub-district of in the registration
District of and more particularly described in the schedule hereunder written TOGETHER with all buildings trees commons liberties privileges essements
advantages and appurtenances what so over to the said piece or parcel of land buildings and premises or any them in anywise appertaining or here to fore occupied
or enjoyed therewith AND all the estate right title interest property claim and demand whatsoever of the donor into and upon the same premises TO HAVE AND
TO HOLO the said piece or parcel of land and premises hereby granted conveyed and assigned upto the donee for over AND the donor deth hereby convenant
with the donee that the donor now hath good right grant convey and assign the premises hereby granted, conveyed and assigned unto the donee in manner
aforesaid AND that the donee shall and may at all time here after peaceable and quietly possess and enjoy the said premises free from the all encumbrances what
so over from or interest in the said premises or any part thereof from under or in trust for the donor or from under any of his ancestors shall and will from time to
time and at all times hereafter at the request and cost of the donee do executed and registered all such facts deeds and things whatsoever for further and more
perfectly assuring the said premise and every part there of unto the donee in the manner aforesaid or as shall or may be reasonably required
IN WITNESS where of the donor hath hereunto set his hand and seal and the common seal of the Municipal Council of the donor was here unto affixed the day
and year first above written.
The schedule above referred to
ALL THAT piece or parcel of land and premises situated in the village of Ramanayyapeta in the Registration Sub District of Kakinada in the Registration district
of East Godavari and Bounded on the
District of East Godavary, more particularly described below
yours faithfully,
witness:- 1
2.

Forms for Grampanchayats:

GO 67
ANNEXURE-A
[see rule 3(1)]
To
The Executive Officer/Sarpanch,
Gram Panchayat,
______________.
Sir,
I/We hereby give you notice that I/We intend to utilise, sell, lease or otherwise dispose off my/our land portion or portions of the same bearing S.No.
______________ having an extent of ______________________ Sq. meters in ______________________ street / division or ward (to be deleted wherever necessary)
consequent on their conversion into a building plots / sites under rule 3(1) of Andhra Pradesh Gram Panchayat Land Development (Layout and Building)

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Rules-2002, for the construction of buildings for residential or non-residential, industrial, commercial purposes as indicated hereunder and in accordance with the
provisions of section 268 of the A.P. Panchayat Raj Act, 1994.
I/We forward herewith four copies of the site plans drawn to a scale 1:1000 and other plans as required under these rules with all particulars required under the
Rules.
I/We enclose:
1. A statement of arrangements made for providing plantation of avenue trees in addition to the arrangements indicated in the plan.
2. A non-encumbrance certificate from the Registration Department for the lands covered by the layout together with the copy of the title deed attested by a
Gazetted Officer.
3. i) A. Gram Panchayat receipt for Rs. being the non-interest bearing security deposit as fixed under item [3] of Schedule annexed to these rules towards
fulfillment of the conditions.
ii) A mortgage-deed intended in favour of the Gram Panchayat Hypothecating lands in the layout area for the value of Rs. towards security deposit in lieu
of cash security and abiding by the conditions prescribed in this regard.
I/We, jointly and severally agree to develop the roads to the required standards as per the specification prescribed by the Gram Panchayat and to provide
underground storm-water drains through proper culverts and to sewer and light the areas and to carryout all the arrangements to the satisfaction of the Executive
Officer of the Gram Panchayat as per the agreement that will be executed by me/us on intimation.
I/We hereby undertake not to utilise, sell, lease or otherwise dispose off the land as sites for the construction of residential or non-residential building until all the
amenities are provided as indicated in the conditions of the layout either by the Gram-Panchayat or by me/us as agreed upon through a registered agreement on
stamped paper worth or Rs.100/I/We, undertake to handover the private streets or roads to the Gram Panchayat after developing them to the prescribed standards and along with the lands set
apart for parks / play-grounds/ Educational Institutions or for any other public purpose under clause (b) under sub rule (4) of rule 3 of the Andhra Pradesh Gram
Panchayat Land Development (Layout and Building) Rules-2002 issued under section 268 of the AP Panchayat Raj Act, 1994.
I/We, agreed to Execute the drainage work (both sewers as well as storm-water) and lighting arrangements to be carried out by the Gram Panchayat at my/our
expenses and to that extent I/We agree to deposit provisional estimated cost with the Gram Panchayat before final release of the sanctioned layout and meet any
further unforeseen expenditure from time to time as may be claimed by the Gram Panchayat.
I am/we are agreed to deposit 50 per cent of the estimated cost of other works to be carried out by me/us, into the Gram Panchayat Treasury on intimation towards
the security deposit (refundable) or agreed to mortgage the plots of an area of equivalent to the security deposit in favour of the Gram Panchayat within 10 days
from the date of receipt of provisional/tentative approved layout. The amount of entire deposit is refundable to me/us by the Gram Panchayat after consulting the
Panchayat Raj Engineering Department as to the satisfactory execution of the work to the prescribed standards after deducting 5 per cent from the deposit
towards supervision charges.
I/We request that the proposed layout may be approved and the permission may be accorded at an early date to me/us to proceed with the execution of the works
as agreed to for enabling the disposal of plots in accordance with sanctioned layout.
Signature of the Licensed Surveyor/ Signature of the Owner/
Engineer/ Architect Owners of land and address(es) and Address of Owner/Owners.

Encl:
1. Site plan in quadruplicate.
2. Statement of arrangement for avenue trees.
3. Non-encumbrance certificate.
4. Challan for security deposit / mortgage-deed / Bank Guarantee.
5. Challan for layout, scrutiny and inspection charges.
6. Copy of Ownership documents establishing the title of land attested by Gazetted officer.
7. Certificate of demarcation of site boundaries by revenue authorities.

ANNEXURE D
[see rule 3(3)(ix)]
GUARANTEE DEED
Rule No. -----------------Where as .is / are required to.furnished a Bank Guarantee to the Sarpanch,.Gram Panchayat for a sum of
Rs..(Rupees.) as per the orders of the Gram Panchayat sanctioning the layout No.. Dated :..in respect of R.S.
Nosituated at..
I / We hereby under take to pay the Sarpanch, the said sum of Rs. . (Rupees .) demand I / We undertake not to
revoke the guarantee without written authority from the Sarpanch,. Gram Panchayat
Witness: 1. 2.
SignatureBank

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ANNEXURE - E[(see rule 11(4)]

AGREEMENT DEED.
Agreement entered into this between Sri / Smt here in after called as the first part which term includes legal heirs and successors and the individual member and
the Gram Panchayat (hereinafter called the council) as the second party where by it is agreed to as follows: (1) That Sri / Smt has submitted an application under Rule 3(1) of Andhra Pradesh Gram Panchayat Land Development (layout and Building) Rules 2002 issued
under the provisions of clause (xvii) of sub-section (2) of the section 268 of Panchayat Raj 1994 indicating his / her intention to make layout and form new private
streets or roads and dispose of sites for plotting of the land situated at under survey No.
(2) Where upon the council agreed to grant permission for making private streets and roads and sites for construction of buildings on the aforesaid land with the
conditions that the cost of entire drainage works, erection of water supply mains and street lighting, water bound macadam roads, table drainage in lieu of the
balance of amount, plots of equivalent value should be mortgaged at the rate of Rs. Per Sq. Meters and the following amenities i.e., asphalt roads, table drains,
street light brackets and avenue plantations should be completed by Sri / Smt (first part) within one year from the date of sanction of layout as per the
specifications given by the Gram Panchayat in their proceedings vide letter No. Dated:
(3) That the first party agreeing to the above conditions and has deposited cost of drainage and other works amounting to Rs. Under Challan No. dated.
(4) That the first party has mortgaged plots or land bearing R.S..Nos.. and measuring ..costing Rsin favour of the Gram Panchayat in lieu of the
balance of betterment charges for providing water bound macadam roads, table drains, street light bracket and avenue plantation under a registered mortgage
deed No.
(5) That the first party only (on behalf of the second party) under takes to provide the amenities such as water bound macadam road, table drains and street light,
water supply mains within one year from the date of sanction of the layout as per the specifications given by the Executive Officer of the Gram Panchayat.
The first party hereby bind himself / themselves to fulfil the above conditions imposed by the Gram Panchayat within a period of one year from the date of
sanction of the layout, failing which the Gram Panchayat will be entitled to with hold the sale of plots and the grant of permission for the construction of houses
under the relevant provisions of the Andhra Pradesh (Andhra Area) public health Act, 1939, or any other enactment for the time being in force. In case the party
fails to comply with the conditions within the stipulated period, the Gram Panchayat is empowered to take action under the provisions of A.P. Panchayat Raj Act
1994 and auction the mortgaged plots or land and get the works completed and recover the expenses from the first party (owner) required for completing the
works in the layout. The first party and his heirs shall not be entitled to raise any objection for such recovery.
In witness where of partly I affix my signature on this day already mentioned in the agreement before the following:
Witness:Witness:
Sarpanch, Gram Panchayat Seal
DEED OF MORTGAGE BY CONDITIONAL SALE
ANNEXURE F
[(see rule 11(5)]
DEED OF MORTGAGE BY CONDITIONAL SALE
This indenture made this day .of two thousand between SriS / o..residing
at .(herein after called the Mortgagor which expression shall unless excluded by or is repugnant to the subject or context, include his legal
heirs, executors, administers and assigns) of the one party, and the Gram Panchayat called " This Mortgagee" which expression shall unless excluded by or is
repugnant to the subject or context, include his successor in office and assign of the other part:
Where as the Mortgager is the absolute and sole beneficial owner and is seized, possessed of or otherwise well and sufficiently entitled the land and the premises
hereinafter described in the schedule hereunder written and hereafter described in the schedule hereunder written and for greater clearance declared on the plan
annexed hereunto and thereon above with the bound areas there of coloured.and expressed to be hereby conveyed, transferred and assured (herein
after referred to as the said mortgage property).
And where as the mortgage applied for permission under Rule 3(1) of the Andhra Pradesh Gram Panchayat Land Development (Layout and buildings) Rules-2002
issued under the provisions of Section 268 of Andhra Pradesh Panchayat Raj Act 1994 to make a layout and form a new private street or road and building plots
for residential / non residential / industrial purposes, and in the land bearing R.S.No. .. Situated at.
And where as the mortgagee having accepted the same has sanctioned the layout plan in file No.subject to the condition that the following works as
per specifications under Rule 5(1) of Andhra Pradesh Gram Panchayat Land Development (Layout and Building) Rules-2002 will be completed by the mortgagor
within one year from the date of release of the final approval of the layout.
Water bound macadam roads estimated to cost Rs. Planting of avenue trees at . intervals estimated to cost
Rs..Meters..
And where as Mortgagor according to the terms and conditions of grant has separately credited Rs. in the Gram Panchayat treasury vide Challan No.
and Dated.towards the following works to be executed by the Gram Panchayat within one year of the date of final release of the approved
layout.Laying of underground sewers along the roads of the layout estimated to cost Rs.Laying of storm water drain culverts etc., along the roads of the layout and
construction at the estimated to cost of Rs
Providing streetlights along with the street of the layout at.meters intervals for the estimated cost.(iv) Provision of water supply estimated of cost
Rs.And whereas the Mortgagor having deposited 50% of the provisionally estimated cost of works mentioned for water supply to provide and
complete the works as stated in para 2 within a period of one year from the date of release of the approved layout, in addition to the lands expressly conveyed,
transferred and assured as per the description given in the schedule towards the balance of 50% of the said estimated cost of the works.Now this indenture witness
as follows:
(i) In pursuance of the rules relating to the approval of layout (hereinafter referred to as the said rules) and in consideration of the deposit and hypothecating of the
acquired lands by the mortgagee to the mortgagor pursuant to the provisions contained in the said rules, the mortgagor both hereby convenant with the mortgagee
that the mortgagor shall always duly observe and perform all the terms and conditions of the said rules.(ii) With possession of the lands and the deposit in favour
of the Mortgagee, if the mortgagor completes the work as stated in para supra to the satisfaction of the Executive officer, within the agreed period of one year from
the date of release of the approved layout; the mortgagee shall at the cost of mortgagor be entitled to the retransfer of the said plots or land to the mortgagor
without any further liability on the same towards the execution of works contemplated in para supra.It is hereby expressly agreed and declared that if there shall
be any breach by the mortgagor of the convenants it shall be lawful for the mortgagee to sell the mortgaged properties or any part thereof in any manner as the
mortgagee shall think fit and the mortgagor shall forfeit the right of redemption as against the mortgagee.
(a) and it is hereby declared that the mortgagee shall be free to complete the said works with the amount so realised and the mortgagor shall not be entitled to

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question the unfettered right of the mortgagee in any court of law.If the mortgagee has to spend additional amount for execution of the said works over and above
the sale proceeds referred to in the above pare, it shall be realised from the "Mortgagor" or the purchasers of individual plots in the said layout area in the same
manner as property tax and the other plots not covered by the Mortgagee will be under the first charge towards the said excess amount spent by the Gram
Panchayat.That the mortgagee shall be in actual possession of the plots and continue to retain the same till the completion of the said works and the mortgagor
shall not interfere with the possession interest, rights, and title of the mortgagee over the said plots in any way detrimental to the interests, rights accrued in
security and charge over the said plots. of the mortgage till the works are completed as agreed upon. The mortgagor does also hereby agree to pay the
govt. Gram Panchayat taxes over the said property if any, till the redemption of the property as the same vests automatically in favour of the Gram Panchayat.The
terms and conditions of this deed are binding and shall continue to be binding on the mortgagor, his heirs, successors, in interest, right as well as a title and
ownership and none of them shall be entitled to question the correctness or the genuineness of the terms and conditions of this deed any where at any time in any
court.
In witness where of the said mortgagor has herein set its hand the day and the year first above written.
SIGNED BY THE SAID MORTGAGOR
In the presence of Witness:Address:Occupation: Witness:Address:Occupation:Signed by Sri..in the office of the Gram Panchayat
for and on behalf of the Gram Panchayat, in the presence of:Witness:Address:Occupation:Witness:Address:Occupation:

Application form for construction of building

ANNEXURE - G
[see rule 14(1)]
Dated:
From
Name of owner of the
Site and building. :
ADDRESS :
To
The Executive Authority,
________________ Gram Panchayat,
________________ Mandal,
________________ District.
Sir,
I intend to construct/reconstruct/make alterations or additions to a building other than a hut, in the site or plot of land, Town or Revenue Survey No. street or road
named ____________________ in the constituency and, in accordance with Andhra Pradesh Gram Panchayat Raj Land Development (Layout and Building) Rules
2002. I forward herewith in triplicate: a. A site plan of the land on which the building is to be constructed/reconstructed/altered or added to
b. A plan of the building showing, plan of each floor, elevations and section as specified under rule 14 of the Andhra Pradesh Gram Panchayat Land
Development (Layout and Building) Rules 2002 and
c. The specification of the work as specified under rule 35 of the Andhra Pradesh Gram Panchayat Land Development (Layout and Building) Rules
2002.
I intend to use the building only as dwelling house/not as a dwelling house but for the purpose of ______________________
I request that permission may be accorded to execute the said work.

Signature of the Licensed Surveyor/ Signature of the owner of the land

Engineer/Architect and Building.
Joint under taking of Owner and Licensed Technical persons
1. I agree not to proceed with the execution of the work until approval is signified by the executive authority under the Andhra Pradesh Gram
Panchayats Raj Land Development (Layout and Building) Rules 2002.
2. I agree to have the proposed work demarcated on the ground with durable stones or clear marks for verification by the inspecting officer at site.
3. I agree not to do any work otherwise than in accordance with the approved site and building plans and specifications which have been approved or
in contravention of any of the provisions of the Andhra Pradesh Gram Panchayat Raj Act, 1994. Or any rule, by-law order or other declaration
made thereunder of any direction or requisition lawfully given or made under the said act, rules or byelaws.
4. I agree to make any alterations, which may be required by any notice issued or by any order confirmed by the Executive Authority under the
provisions of Andhra Pradesh Panchayat Raj Act, 1994.
5. I agree to keep one copy of the approved site plan and one set of copies of the sanctioned plans of the building, at the site of the building at all times
when the work is in progress and also agree to see that such plans are available and the building is open at all times for the inspection of the
executive authority or any officer authorised by him in that behalf.
6. I agree to give notice to executive authority and furnish a set of completion plans within fifteen days from the date of completion or occupation of the

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building, whichever is earlier.

7. I also agree not to occupy the building that will be constructed re-constructed by us/ me, or cause or permit to be occupied until we have obtained a
certificate from a competent officer of the Public Health Department of the Gram Panchayat.
Signature of the owner of the Signature of the owner of the
land and the building. Licensed Surveyor/Engineer/ Architect

SCHEDULE

(see rule 27) Rate

Sl.

Details of the item

Gram Panchayats falling

Minor Gram Panchayat

In UDA, Peripherial Gram

No.

Panchayats of Municipalities,
Major Gram Panchayats,
And declared potential areas
[1]

[1]

[2]

[2]

[3]

[4]

Rs.1.00 per M2 subject to

Rs.0.25 per M2 subject to

Minimum of Rs.3,000.00

minimum of Rs.1,000.00

Inspection & Technical

Rs.100.00 per acre subject to

---

Scruitiny fee of

Minimum of Rs.1,000.00

Layout fee

Town Planning Dept.,

[3]

[4]

Rs.2.00 per M2 subject to

Rs.1.00 per M2 subject to

Minimum of Rs.10,000.00

minimum of Rs.5,000.00

I) Semi Permanent/Thatched

Rs.50.00 per Structure

---

ii) Permanent

Rs.10.00 per.M2 of built up

Rs.2.00 per M2 of built up area

Area subject to minimum

subject to minimum of Rs.100.00

Security Deposit

Building Permit fee

(a) Residential

of Rs.200.00
(b) Non-Residential

Rs.20.00 per M2 of built up

Rs.4.00 per M2 of built up area

Area subject to minimum

subject to minimum of Rs.200.00

of Rs1000.00
[5]

Renewal of lay out /building plan

[6]

Penality for

[7]

20% of the total fees

10% of the total fee

(a) violation of rules

Rs.1,000.00

Rs.500.00

(b) for continuing offence

Rs.10.00 per day

Rs.5.00 per day

Rs.10.00 each

Rs.5.00 each

Other fee
(a) Building Application, Annexure
Form and others annexures

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Rs.1.00 per M2

Rs.0.50 per M2

(a) village map or I.L.U.P.

Rs.100.00 each

Rs.100.00 each

(b) Approved Layout copy

Rs.50.00 each

Rs.50.00 each

(c) Approved Building Plan

Rs.50.00 each

Rs.50.00 each

(b)Unobjectionable encroachment
[8]

True copies charges

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