BUILDING PERMISSION APPLICATION FILE | ULB No. | ABBREVraTrON | BP | ZONE | crR | wo Date|d}ajm|mlylyly|y] To ‘The Commissioner, u so (ULB) ERS only) ADDRESS OF THE APPLICANT (Use CAPITAL NAME DOOR No. / FLAT No. ROAD/STREET VILLAGE _| MANDAL CITY/TOWN lz 3 DISTRICT E-MAIL, [Mfr] un fa fes/no|me| > PHON | MOBILE E ‘ALTERNATE LOCATION OF THE PROPOSED SITE PLOT NOs. ‘SANCTIONED LAYOUT NO./ LRS NO. “SURVEY an VILLAGE PREMISES / DOOR No. ROAD/ STREET WARD | BLOCK No. No. LOCALITY circte/ | DIVISION we |eolu|o fala] w crTy/ own | DISTRICT DETAILS OF THE PROPOSED CONSTRUCTION ‘SITE (2) AS PER AREA DOCIRIENTS| ‘SUBMITTED (IN SQ. PLAN (b)__ASPER (ROAD WIDENING AREA (d) NET AREA, M) NO. OF CELLAR, ‘STILT GROUND FLOORS UPPER FLOOR TOTAL 2953 | FLOOR AREA aN SQ.M | PARKING FLOOR 4 AREA dN SQ.M) TNDIVIOUAL RESIDENTIALGROUP HOUSING/ COMMERCIAL] USE OF THE INSTITUTIONAL/ROW HOUSING/OTHERS (SP fet es Bee wu OTHERS (SPECIFY) D | DETAILS OF THE LICENSED TECHNICAL PERSONNEL: st NN NAME ‘ADDRESS LICENSE NO. ° 1 | BUILDER / DEVELOPER, | CONSTRUCTION FIRM 2] aachiTect 3] | eustiees al STRUCTURAL ENGINEER 5 SUPERVISOR/SURVEVOR Co | Fw BcaniieR 296CERTIFICATE 1/ we declare that I am / we are the absolute/ owner/ owners/ lessee of the land on which I/we Intend to erect the Building and am / are enclosing copies of relevant document of ownership/ lease certified by Magistrate/ Notary public/ a Gazetted Officer authorized by the Commissioner In this behalf 1/ we have gone through the Building Regulations made under the provisions of the A.P. Building Rules and have satisfied myself/ourselves that the site and building plans are in cordance with provisions contained therein. SL. No, | NAME OF OWNER / LICENSED PERSONNEL SIGNATURE 1 | OWnieR 7 OWNERS / LESSEE / AUTHORISED AGENT BUILDER / DEV cow ARCHITECT, 4 ENGINEER STRUCTURAL ENGINEER SUPERVISOR/SURVEVOR 7 TOWN PLANNER