Goo 415_)

Annexure -WI

Format for Land Evaluation by LEC

Date of land inspection:

Yo
Retail Outlet Site Evaluation Parameters
c4-one no 12
Advt Location District:
rfi
Advt sr No, 8
Category

Type of RO : R gular/ Class of Market: A/B/C/

Survey No & Vülage:

of the Applicant:
Name

Sr,
Evaluation Parameter Remarks
NO.
What is the svretchof the offered and whether S-*-on• BO 2-0
the offered site is within the advertised stretch?
Oßered
2 Actual dimensions of the site
40m,
Is the site meeting
the NHA) norms? (Applicable Yes,
only for NH sites)
i Whether land has any HT line (>IIKVA) crossing?
NO HT Line
5 in
case of advertisement in Rural.
Offered site is not on SH or NH
Outside municipal limits
(Note: status of road converted to SH/NH
advertised needs to be ascertained and the
same to be confirmed in the LEC report by
checking with relevant department/Gazette
; notifications. tn case the Site is
on NH/SH or
within municipal limits)

In case of advertisement
on "State Highway" LEC
team shali verify if the sicetch is converted to NH.
Note: If 'yes' same to be bought to the notice of
Regional Manager aiong with copy of gazette
notification.

Member-I
{Nar-ne &
oo-v_____-—
Desi natio (Name
ember-2
& Designation)
Member-3
(Name &
(tn case. of NH)

nesign ton)

Han-re.J
89,

S QvSfn
 2

SI No Checklist YES/NO
1. -indicate distances from the nearest intersection, culvert, median
opening, in case of NH/SH site.
Yes
2 -Indicate any permanent structure/rock/hiil within the offered land
/
Pathway through the offered site/ Cutting/Filiing required 10 bring
the site at par with the road level etc, LEC team Shail take an
undertaking from the candidate that the same wilt be demolished
and land leveiied to the road at his/her cost in case LOI issued tc the
candidate.
-Indicating distance from the nearest KM stone or any other
permanent structure. Yes.
4 -Photographs of the offered land along with the
applicant/representative taken and attached along with LEC report.
Layout /site map indicating dimensions of ail 4 sides of land attached (Specific land mark with
dimension of the site given; Pls confirm 'YES' or 'NCY.• ( )

Yes
Land Found Suitable. Pis confirm 'YES' or 'NO': (

Mention reasons for non suitability of land:

a.

LEC to verify fayout of the plot with the layout drawing submitted by the applicant. Any deviations to
be highlighted.

Note:
I) Land not meeting any of the above 6 evaluation parameters is required to be rejected.
2) Offered land should have minimum frontage & area as specified in the advertisement
3)
Minimum Depth perpendicular to the frontage should be available at least from one place (point of
frontage) measured after leaving ROW.
4) Location of Rural outlet should not be on Highways (NH/SH etc.) and outside tho municipai limits of
a town ( as on date of advertisement)
S) In
case LEC finds that the advertised stretch definition is not in line with the physical features of the
location, example: Advertisement released for SH whereas the highway is converted to NH, Rural RO
advertised on SH/NH etc.,
same to be bought to the notice of RM.
6) Aildetails to be filled in without exception.

Member-I Member-3 (In

case of NH)
ame & Designation) (Name Designation) (Name & Designati
 Cr-ffö 4 (b)

Annexure —
W2
Layout Sketch of land offered by the applicant
2-0 4-0
no
Location
District :
Category: State :
Land Details:
V [Link]
Name of Applicant
Site Address (As mentioned in the application form):
arL.•voavan.

Landmark details (distance from nearest Km stone or any other ermanent landmark /

structure nearest to the starting point of the site) cx

g*One no NH 331
Layout Sketch of land offered by the candidate with approximate dimensions( II

Meters.)
gar».[Link]•.
Tea:
AA*ßovöß 2-3m
Oea\eq
Ots\'. :8v3CA68G
otn
É_goe—
'

LO m

Ihereby confirm that the above mentioned details of the plot offered by me are correct and
site has been inspected by the Company Officials as mentioned below. Further I also confirm
that:-

Offered land is of required dimension and abutting the Road boundary, after leaving
Right of Way (ROW) line of the road.
i!. The offered land is also not notified for acquisition.
Land owner is in Possession of the land from the beginning / edge of ROW line.
iv. There is no other land including Govt. land between ROW and offered plot.

I also understand that in case any of the details mentioned above are found incorrect or the
site is found unsuitable by the Corporation for any reason whatsoever then I
would have no
claim on the dealership of this location.

Date Name & Signature of the applicant / Representative of applicant

•

Member 1 Member 2 Member 3

(In
case of NH e;o-t

O 't,60cu

122 versvon : 24 20'3