Section 9

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Structure Stability Certificate (if building has floors) (a) Enclosed / not enclosed: (b) issued by: (c) Dates of Inspection being carried out and report prepared on: I do hereby undertake and declare that all the information given hereinabove is true and correct and that nothing therein is concealed misrepresented or wrongly mentioned. I further declare and undertake that I am aware that any of the above mentioned information provided by me if found to be incorrect, false or misrepresented, then the regularization of the construction, if ordered by the authorised officer shall stand automatically revoked and I shall be under bounden duty to remove the said construction immediately at my own cost. I also declare that the said construction is not within any of the prohibited areas/sites as mentioned in the sub- ---8--- section (5) of Section 3. I further undertake that I am in no dues to Government or local bodies and that I have paid all my dues. I further declare that I am fully responsible for any wrong declaration given hereinabove or in any other statement that may be required to be given by me for processing my request. Enclosed: - (1) Sketch showing dimension of the structure. (2) Receipt of amount paid. (3) Documents relied on viz…… 4) Any other enclosure……………… Signature of the Applicant/Deponent Name of the Applicant SCHEDULE–I (See Section 3(1) List of Documents in support of the Application for regularisation. Sl. No Document type Issued by competent authority 1 2 3 1 Water/ Electricity/ other utility services consumption bills Issued at any date pertaining to period prior to 28th February, 2014. 2 Aadhar Card Issued prior to 28th February, 2014. 3 Election Photo Identity Card Issued prior to 28th February, 2014 4 Ration card Issued prior to 28th February, 2014 5 Passport Issued prior to 28th February, 2014. 6 Telephone usage bills Issued at any date pertaining to period prior to 28th February, 2014. 7 House Tax Receipts Issued at any date pertaining to period prior to 28th February, 2014. 8 Bank Account passbook of scheduled banks Issued prior to 28th February, 2014 9 Postal Account passbook Issued prior to 28th February, 2014 10 Any Tax receipts Issued prior to 28th February, 2014 11 Land Index Form I & XIV Issued prior to 28th February, 2014 12 Residence/Domicile or other certificate Issued prior to 28th February, 2014 13 Notice issued by any Government Department/agency Issued prior to 28th February, 2014 ———— ---9--- 21[SCHEDULE–II] [See section 3(3)] Table for calculating penalty, fees, charges for regularization Area of unauthorised Construction (in square meters) / Survey/ Number/ Village/Municip al area/Category of construction (A) Conversion charges (B) Infrastru cture tax S (C)Oc cupan cy fee £ (D) Construction license fees (E) House tax £ Total(A+ B+ C+D+E) Regularisation fee@ Penalty* Grand Total 1 2 3 4 5 6 7 8 9 10 (i) # Conversion charges shall be applicable as per the Goa Land Revenue Code, 1968 (Act 9 of 1969). (ii) $ Infrastructure Tax shall be applicable as per the Goa Tax on Infrastructure Act, 2009 (Goa Act 20 of 2009). (iii) £ Occupancy fee, Construction license fee, House tax shall be applicable as leviable/payable on date of making application, in the respective Municipal/Village Panchayat areas. (iv) * Penalty shall be over and above the total payable amount in columns (A) to (E) as follows:- (a) Residential: 5% (b) commercial: 15% (c) residential cum commercial: 10% (d) Institutional: 5%. (v) @ Regularisation fee shall be collected for respective area as indicated in the Annexure below. Annexure I–Coastal and Developed Area Original entries read as follows :- Table for calculating penalty, fees, charges for regularisation Area of Unauthorised Construction (insq.mts)/Survey No./Village/ Municipal Area/Category of construction Conversion Charges# Infrastructure tax Occupancy fees£ Construction License fees£ House tax£ Total (A+B+C+D +E) Penalty* Grand Total A B C D E # Conversion charges will be applicable as per the Goa Land Revenue Code, 1968(Act 9 of 1968). $ Infrastructure Tax will be applicable as per the Goa Tax on Infrastructure Act, 2009(Goa Act 20 of 2009). £ Occupancy fees, Construction license fees, House tax will be applicable as existing as on date of application, in the respective Municipal/Village Panchayat areas. * Penalty shall be over and above the total due payable amount in column (A) to (E) as follows:— (a) Residential: 5% (b) commercial: 15% (c) residential cum commercial: 10% (d) institutional: 5%. 1) Bardez 2) Salcete 3) Mormugao 4) Tiswadi 1) Pernem 2) Quepem 3) Canacona Category-B: Regularisation fees for areas under this category as mentioned below shall be calculated @ 30% of the Sum Total of the Column (A+B+C+D+E). Category-A: Regularisation fees for areas under this category as mentioned below shall be calculated @ 40% of the Sum Total of the Column (A+B+C+D+E). ---10--- i) Anjuna ii) Candolim iii) Calangute iv) Nerul v) Penha-de- Franca vi) Salvador- do-Mundo vii) Pilerne i) Benaulim ii) Colva iii) Betalbatim iv) Gonsua v) Carmona vi) Cavelossim vii) Majorda viii) Sernabatim ix) Varca i) Arossim ii) Cansaulim iii) Velsao iv) Pale v) Chicolna vi) Issorcim vii) Sao Jorge viii) Chicalim ix) Dabolim i) Taleigao ii) Bambolim iii) Ella i) Morjim ii) Mandrem iii) Arambol v) Tiracol i) Naquerim ii) Quitol iv) Querim i) Agonda ii) Cola iii) Nagorcem - Palolem iv) Poinguinim II–Municipal Areas Category-A: Regularisation fees for areas under this category as mentioned below shall be calculated @35% of the Sum Total of the Column (A+B+C+D+E). Category-B: Regularisation fees for areas under this category as mentioned below shall be calculated @ 25% of the Sum Total of the Column (A+B+C+D+E). 1) Panaji/City Corporation of Panaji: All Wards. 2) Mapusa: All Wards. 3) Ponda: All Wards. 4) Margao :All Wards. 5) Mormugao: All Wards. 1) Pernem: All Wards. 2) Bicholim: All Wards. 3) Sanquelim: All Wards. 4) Valpoi: All Wards. 5) Cuncolim: All Wards. 6) Quepem: All Wards. 7) Curchorem/Cacora Municipal Areas: All Wards. 8) Sanguem Municipal Areas: All Wards. 9) Cancona Municipal Areas: All Wards, excluding Nagorcem-Palolem. III–Developing Villages Regularisation fees for areas under this category as mentioned below shall be calculated @ 20% of the Sum Total of the Column (A+B+C+D+E). District-North Goa 1) Tiswadi Taluka: 2) Bardez Taluka 3) Pernem Taluka: 4) Bicholim Taluka: 5) Satari Taluka: ---11--- i) Durgawado ii) Bainguinim iii) Corlim iv) Calapur v) Chimbel vi) Cujira vii) Carambolim viii) Morombi-o- Pequeno ix) Morombi- -o- Grande x) Murda xi) Panelim xii) Renovadi i) Guirim ii) Colvale iii) Tivim iv) Bastora v) Reis Magos vi) Verla vii) Parra viii) Canca i) Dhargal ii) Tuem i) Carapur ii) Maem iii) Sarvona iv) Mulgao v) Maulinguem- South vi) Arvalem vii) Amone i) Onda ii) Nanus District-South Goa 1) Pondav Taluka: 2) Salcete Taluka 3) Mormugao Taluka: 4) Quepem Taluka: 5) Sanguem Taluka: 6) Dharbandora Taluka: 7) Canacona Taluka: i) Siroda ii) Borim iii) Queula iv) Betora v) Curti vi) Cundaim vii) Marcaim viii) Usago ix) Bandora i) Navelim ii) Aquem iii) Nuvem iv)Davorlim i) Cortalim ii)Sancoale i) Sirvoi ii) Amona iii) Deao iv) Xeldem v) Chaifi vi) Cusmane vii) Fatorpa i) Cotarli ii) Sanvordem i) Dharbandora ii) Pilliem iii) Collem iv) Mollem NIL IV-Rural Villages Regularisation fees for areas under this category as mentioned below shall be calculated @ 10% of the Sum Total of the Column (A+B+C+D+E). District-North Goa 1) Tiswadi Taluka: 2) Bardez Taluka 3) Pernem Taluka: 4) Bicholim Taluka: 5) Satari Taluka: ---12--- i) Capao ii) Ambarim iii) Batim iv) Caraim v) Gancim vi) Gandaulim vii) Goalim-Moula viii) Goltim ix) Jua x) Malar xi) Naroa xii) Navelim xiii) Talaulim xiv) Chorao i) Sangolda ii) Moira iii) Assagao iv) Siolim v) Aldona vi) Arpora vii) Socorro viii) Camurlim ix) Sircaim x) Nagoa xi) Nachinola xii) Ucassaim xiii) Marra i) Torxem ii) Tamboxem iii) Mopa iv) Ugvem v) Khajne/Cansnem vi) Amberem vii) Poroscodem viii) Varconda ix) Ozari x) Casarvornem xi) Chandel xii) Hasapur xiii) Alorna xiv) Ibrampur xv) i) Adwalpale ii) Aturli iii) Cotmbi iv) Cudnem v) Curchirem vi) Dumacem vii) Latambarcem viii) Maulinguem- North ix) Mencurem x) Naroa xi) Navelim xii) Ona xiii) Pale i) Ambeli ii) Ambedem iii) Ansolem iv) Advoi v) Assordem vi) Bombedem vii) Buimpal viii) Birondem ix) Karambolim- Brama x) Choraundem xi) Codal xii) Caranzol xiii) Cumarconda ---13--- xv) umbarjua xvi) Curca xvii) Neural-o- Grande xviii) Neura-o- Pequene xix) Azossim xx) Goa-Velha xxi) Mandur xxii) Mercurim xxiii) Siridao xiv) Nadora xv) Moitem xvi) Assonora xvii) Oxel xviii) Pirna xix) Revora xx) Paliem xxi) Saligao xxii) Marna xxiii) Calvim xxiv) Corjuvem xxv) Punola xxvi) Pomburpa xxvii) Olaulim xxviii) Ponolem Virnoda xvi) Agarwada xvii) Chopdem xviii) Paliem xix) Corgao xx) Parcem xiv) Piligao xv) Salem xvi) Sirgao xvii) Surla xviii) Vainguinim xix) Velguem xx) Virdi xiv) Cudcem xv) Compordem xvi) Codiem xvii) Cocqui xviii) Codvol xix) Carambolim- Burzruco xx) Cotorem xxi) Conquirem xxii) Dongurli xxiii) Derodem xxiv) Davem xxv) Dabem xxvi) Damocem xxvii) Edorem xxviii) Gonteli xxix) Golauli xxx) Govanem xxxi) Guleli xxxii) Ivrem- Buzruco xxxiii) Ivrem-Curdo xxxiv) Morlem xxxv) Massordem xxxvi) Mauzi xxxvii) Maloli xxxviii) Melauli xxxix) Malpona xl) Naguem xli) Nagargao xlii) Naneli xliii) Nanorem xliv) Poriem xlv) Podocem xlvi) Pissurlem xlvii) Pendral xlviii) Pale ---14--- xlix) Ponocem i) Padeli li) Querim lii) Ravona liii) Rivem liv) Sirolo lv) Surla lvi) Satrem lvii) Sigonem lviii) Saleli lix) Satorem lx) Sonal lxi) SonusVonvoliem lxii) Sanvordem lxiii) Sanvorcem lxiv) Siranguli lxv) Sisidem lxvi) Ustem lxvii) Velus lxviii) Vainguinim lxix) Vaguriem lxx) Velguem lxxi) Vantem lxxii) XelopoCurdo lxxiii) Xelopo Buzruco lxxiv) Zarani lxxv) Zormen ---15--- District-South Goa 1) Ponda Taluka: 2) Salcete Taluka 3) Mormugao Taluka: 4) Quepem Taluka: i) Adcolna ii) Betqui iii) Boma iv) Candepar v) Codar vi) Conxem vii) Cuncoliem viii) Durbhat ix) Nircancal x) Orgao xi) Panchawadi xii) Priol xiii) Querim xiv) Savoi-Verem xv) Gangem xvi) Talaulim xvii) Tivrem xviii) Vadi xix) Vagurbem xx) Velinga xxi) Volvoi xxii) Candola i) Ambelim ii) Adsulim iii) Assolna iv) Chandor v) Chinchinim vi) Calata vii) Camurlim viii) Cana ix) Cavorim x) Curtorim xi) Cuncolim xii) Deussua xiii) Dicarpale xiv) Dramapur xv) Duncolim xvi) Gaundalim xvii) Guirdolim xviii) Loutolim xix) Macasana xx) Mulem xxi) Nagoa xxii) Orlim xxiii) Paroda xxiv) Raia xxv) Rachol xxvi) Sarzora xxvii) Sao Jose de areal xxviii) Seraulim i) Quelossim ii) Cuelim iii) Sao Jacinto Island i) Zanodem ii) Undorna iii) Quisconda iv) Quedem v) Sulcorna vi) Pirla vii) Padi viii) Odar ix) Nagvem x) Mangal xi) Maina xii) Molcornem xiii) Molcopona xiv) Morpirla xv) Gocoldem xvi) Corla xvii) Cazur xviii) Cordem xix) Cavorem xx) Cotombi xxi) Barcem xxii) Bendurdem xxiii) Ambaulim xxiv) Avedem xxv) Assolda xxvi) Admen xxvii) Xelvona xxviii) XicXelvolna xxix) Balli xxx) Tiloi ---16--- xxix) Sirlim xxx) Talvorda xxxi) Talaulim xxxii) Utorda xxxiii) Vanelim xxxiv) Velim xxxv) Verna xxxvi) Veroda 5) Sanguem Taluka: 6) Dharbandora Taluka: 7) Canacona Taluka: i) Antoriem ii) Boma iii) Bati iv) Calem v) Comproi Colomba x) Curdi xi) Cumbari xii) Dudal xiii) Dongurli xiv) Dongor xv) Maulinguem xvi) Muguli xvii) Naiquinim xviii) Netroli xix) Nundem xx) Oxel xxi) Patiem xxii) Potrem xxiii) Porteem xxiv) Rumbrem i) Aglote ii) Bandoli iii) Codli iv) Caranzol i) Canacona ii) Cotigao iii) Gaodongrem iv) Loliem v) Camarconda vi) Cormonem vii) Sancordem viii) Sangod ix) Sigao x) Sonaulim xi) Surala xii) Maissal ---17--- xxv) Rivona xxvi) Salauli xxvii) Santona xxviii) Sigonem xxix) Tudou xxx) Uguem xxxi) Viliena xxxii) Verlem xxxiii) Vichundrem xxxiv) Xelpem Secretariat, Porvorim-Goa Dated 09-09-2016 SUDHIR MAHAJAN Secretary to the Government of Goa Law Department (Legal Affairs) __________________ ______________________________________________________________________________________________