If any question arises relating to the implementation of these rules, the same shall be referred to the State Government for its decision and the decision of the State Government shall be final and implemented.
Form-I {see rule 4(l)} Highway Land Register State Highway No .....
KmNo ....
S;No. Name of Name of Name of Plot No.1 Area of the District Tehsil/sub- Village/ Khasra land 10 division Mohalla No. acreslhactares 1 2 3 4 5 6 Note: Information is to be maintained kilometer-wise in the register.
Form-Il (see rule 9) Form of application for permission to construct any building or other work within the control zone of a State Highway To The Authorised officer, .....................................
....................................
1. Name of applicant (in full)
2. Age
3. Address (in full)
4. Interest of the applicant in the property to which the application relates (A Certified copy from the Record of Rights or Property Register should be attached),
5. Purpose for which oermission IS sought • 1045 ~ -m;\-"Cf.iI, ~ 25, 2020 (Give full details) 6, Particulars of land on which the work is to be carried out-
(a) Survey No.lKhasara No,
(b) Plot No.
(c)Total area of the plot in possession of the applicant.
(d) Area of the land to be used out of (c) above for the work.
7 Name of the highway along which the property is situated, with number of Km.
to be fully described.
8. Whether permission of the Local Authority concerned is obtained for the work. If not, state the reasons why such permission not obtained. If obtained, attach the same (in originals).
9. (a)Whether application made previously to the Highway Authority for the purpose stated above.
(b) If so, state the date of such application,
(c) Number and date ofthe communication, if any, from the Highway Authority in respect of such application.
10. Any other relevant particulars or information.
The above particulars and information are true and correct to the best of my knowledge and belief.
Place .
Date ······ .. · Signature of Applicant Notes.-(l) A rough sketch showing all the particulars against items 6 and 7 of the form and the distance between the site of the work and the highway boundary should accompany the application.
(2) Applications pertaining to construction, reconstruction, extension of or material alterations to buildings should be accompanied by a detailed plan of the structure existing old or proposed as the case may be and the proposed additions and alterations, if any, duly certified by an Architect.
., 1046 Form-III (see rule 10) Form of application for specific permission for access to a Highway To The Authorised officer, .....................................
....................................
1. Name of applicant
2. Father's name
3. Address of applicant (with telephone No.)
4. State Highway No. and the point of access on highway on which the permission for access is sought for
5. Purpose of such permission
6. The means of access to which the permission sought for relates
7. Grounds for such permission which aJljJlicant likes to mention
8. Period for which the permission IS required - From ......... To .........
9. Particulars of fee paid Place .
Date . Signature of the applicant Form-IV (see rule 12) License for access to HiI!hway
1. Name of the person to whom the license is issued
2. Father's name
3. Address of such person (with telephone No.)
4. Purnose of specific permission
5. Brief description of highway 10 respect of which the specific permission IS given(State Highway No. and kilometrage also to be indicated)
6. Means of access to which such permission relates
7. Period for which the license is valid - Fro1O............ To ............
..
I 8. I Terms and conditions (if any) 1047 ~ ~ "(f,i[, 3l'ffif 25, 2020 Place, .
Date ..
Signature with name and seal of the officer issuing license Form-V (see rule 18) Application for construction, installation, etc, on Highway land To The Authorized officer, ...........................................
.................................................
1. Name of applicant
2. Father's name
3. AddresS(with telephone No.)
4. Location and part of highway to be occupied (State Highway No.
and Kilometrage also to be indicated)
5. Purpose
6. Period of occupancy of highway land
7. Method of execution of Work (Detailed drawing/map of the work to be attached)
8. Period of construction From .................... to ......................
9. Method of restoration of such part of the highway Place ..
Date .
Signature of applicant Form-VI (see rule 22) Permit for occupation of Highwav land
1. Name of the person to whom the permit is issued
2. Father's name
3. Permanent address (with telephone No.)
4. Address for communication (with telephone No.)
5. Area ofthc Highway in sq.m. to be occupied in pursuance of the permit
6. Location of such area (including State • 1048 Highway No., its kilometrage) 7 Purpose for which the permission is granted under the permit.
8. Period with dates for which the permission is granted under the permit From............... To .................
9. Conditions subject to which permission is granted under the permit
10. Rent paid Place .
Date . Signature with name and seal of the officer granting permit Note: Entries regarding renewal including the time period for which renewal is made, rent and additional charges paid therefore shall be made and endorsed on the back of this permit with seal by the officer renewing permission.
Form-VII (see rule 25) Notice for removal of unauthorized occupation Whereas 1.. , on periodical inspection of the highway land on the information received by me, am satisfied that an unauthorized occupation has taken place on the highway comprised of area (specify area) situated at Km............ of State Highway No..... ... (indicate location sufficient to identify area) and such unauthorized occupation has been caused by you/you are responsible for such unauthorized occupation;
Therefore, you (Name and address of person to whom notice is to be issued) take notice that you are hereby required to remove such unauthorized occupation within seven days from the date on which this notice is served on you. You may make representation within three days from the date on which this notice is served on you to , (indicate the designation and address of the officer to whom representation is to be made) and such representation, if made, shall be heard on ····· (indicate the date and place of hearing) at............... and be aware of the notice that failure to comply with this notice shall render you liable to penalty and summary eviction from the aforementioned highway land under sub-section (5) of section 42 of the Rajasthan State Highways Act, 2014 (ActNo.22 of 20IS).
Issued under my hand and seal at.. on day of 20 .
Place . Signature of the officer authorized with Seal • 1049 Form-VIII (see rule 26) Bill for recovery of cost of removal of unauthorized occupation and fine imposed I. Name of person to whom the bill is to be served
2. Father's name
3. Address (with telephone No.)
4. Location of unauthorized occupation with State Highway No. and kilometrage
5. Expenditure incurred (in rupees) in removing unauthorized occupation/in making construction including alteration of construction/in repairing damage Additional charge Fine imposed Total Place: Jaipur Date : 24.08.2020 [F.14(26)/PW 120141 By order of the Governor, Brijendra Singh Parmar , Joint Secretary to the Government.
Government Central Press, Jaipur.