I) PROCEDURE ON BUILDING APPLICATIONS:-MUNICIPAL CORPORATION OF HYDERABAD BUILDING APPLICATION FORM No:.......... FORM OF NOTICE U/S 428 & 433 OF THE HMC ACT 1955 (ACT II OF 1956) AND Z.R.1981 TO ERECT A BUILDING OR EXECUTE ANY WORK. From Sri/Smt/Kum/M/s............................ (Full name of the Owner) POSTAL ADDRESS: (In Block Letters) Door. No. / Flat. No. / Block. No. ..................... Name of the Premises/ Building. Name of the Road/Street/ Locality/Manual. Town/City, District. .......................... Pin code. Contd.2 To THE COMMISSIONER, MUNICIPAL CORPORATION OF HYDERABAD, H Y D E R A B A D. Sir, I/We ................................(Name/ Names in full) Owner/Lessee of the Land /Building, the particulars of which are given below, hereby give you notice that I/We intend to erect/re-erect/and to alter/executive a building/ work(s) in accordance with the provisions of Hyderabad Municipal Corporation Act 1955, and the Rules and Bye -laws made there-under, and according to plans submitted herewith along with the following details: A) LOCATION a) Plot No. :...................... b) Sanctioned Layout No. :...................... c) Premises No./Door No. :...................... d) Survey No. :...................... e) Street name or Road: ...................... f) Locality/Ward & Block No:...................... g) Circle/Division: ...................... The purpose for which it is intended to be used: - I / we intended to use the building for: - Residence / Office / Godown / Restaurant / Hotel harmashala / School / Theatre / Shops / Factory Stable / Garage etc. The Road / Street / Lane on which the site, about is Public / Private property and has been formed / Paved metalled / Asphalt / Cement concrete and is connected / not connected to open drains under ground sewer. The Construction of the building supervised by: Name of the Licensed Supervisor / Architect /Engineer) Name....................... License No. .................... Address .................... ................... Licensed or Registered No. I/ We, attach the following plans in Quadruplicate: a) Blue Print / Ammonia process print plan of the Land / on which the building is to be Constructed / Reconstructed / Altered or added to (Complying with the requirements in Annexure 'I' to the rules). b) Blue Print / Ammonia process print plan of the Building / Buildings (Complying with the requirements in Annexure 'II' to the Rules). c) Blue Print / Ammonia process Print of the specification of the work (Complying with the requirements in Annexure 'III' to the Rules) and d) Blue Print / Ammonia process Print of the intended line of the Drainage(Complying with the requirements in Annexure 'IV' to the Rules). The Plans have been prepared by name of the Licenced Surveyor / Supervisor / Architect Engineer. Address:- Licence or Registered No. CERTIFICATE I/ we declare that I am/we are the absolute / owner /owners /lessee of the land on which I/we intended to erect the Building and am / are enclosing copies of relevant documents of ownership/lease certified by Magistrate/Notary public/a Gazetted Officer authorized by the Commissioner in this behalf. I/We have gone through the Building Regulations contained in the Hyderabad Municipal Corporation Act, 1955 and the Rules and Byelaws made hereunder and have satisfied myself/ourselves that the site and building plans are in accordance with provisions contained therein. Yours faithfully, SIGNATURE THE OWNER/OWNERS Lessee/or Authorized Agent/Agent S/o. /D/o. /W/o............ Place : Date :