APPENDIX -A

[Rule 17 (1) ]

FORM FOR FIRST APPLICATION TO DEVELOP, ERECT, RE-ERECT OR TO MAKE ALTERATION IN ANY PLACE IN A BUILDING

To,

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Sir,

          I hereby give notice that I intend to develop, re-erect or to make alteration in the building no-------------------------------- or to -------------------------- on / in / Plot No. --------------------------------- in Colony / Street---------------------------- MOHALLA /BAZAR /ROAD--------------------------- CITY -----------------and in accordance with the rule 17 of the Madhya Pradesh Bhumi Vikas Rule 1984 I forward herewith the following plans and specification in quadruplicate duly signed by me and ---------------------- the Architect/Structural Engineer/Supervisor /town planner.

(Name in Block Letters)

Licence No----------------------- who will supervise its erection.

1.                 Key Plan

2.                 Site plans

3.                 Sub Division / Layout Plan

4.                 Building Plans

5.                 Services Plans

6.                 Specifications, General and Detailer

7.                 Ownership Title

I request that the development construction may be approved and permission accorded to me to execute the work.

          Signature of the Owner  :------------------------------------

          Name of the Owner       :------------------------------------

          Address of the Owner    :------------------------------------

Date :------------