Bhopal Municipal Corporation
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  S. No.........

APPLICATION FORM (DATA-SHEET) DATE:-  /  /
     1. CASE NO.
 
     2. PERMISSION NO.
 
     3. WARD/ZONE NO.
 
 
     4. APPLICANT NAME
 
     5. FATHER'S NAME
 
     6. POSTAL ADD.
 
   
 
     7. PLOT NO.
 
     8. KHASRA NO.
 
     9. WIDTH OF ABUTTING/APPROACH ROAD
 
    10. PLOT SIZE
 

MTRS

    11. PLOT AREA
 

SQMTR

    12. PLOT USES
 
    13. FAR ALLOWED
 
    14. MAX. BUILTUP AREA
 
ALLOWED ON ALL
FLOORS
    15. MAX. HEIGHT
 

MTRS

    16. MARGINAL OPEN SPACES :-
a). FRONT
 

MTRS

a). REAR
 

MTRS

a). L.SIDE
 

MTRS

a). R.SIDE
 

MTRS

    17. PROPOSED BUILT UP AREA ON:-
GROUND FLOOR __________________________ SQMTRS
MEZANINE FLOOR __________________________ SQMTRS
FIRST FLOOR __________________________ SQMTRS
SECOND FLOOR __________________________ SQMTRS
THIRD FLOOR __________________________ SQMTRS
FOURTH FLOOR __________________________ SQMTRS
ABOVE FLOOR(S) __________________________ SQMTRS
TOTAL__________________________ SQMTRS
    18. TYPE OF STRUCTURE ______________________________________________
    19. AREAS NOT A.___________________B.____________________
INCLUDED IN FAR C.___________________D.____________________
E.________________TOTAL___________SQMTRS
    20.

  SIZE

      
GARAGE

Y

.

N

.
         
      
SERVANT ROOM

Y

.

N

.
  ________________________SQMT
      
PORCH

Y

.

N

.
  ________________________SQMT
      
BASEMENT

Y

.

N

.
  ________________________SQMT
     21. PARKING AREA ________________________________________
  (COVERED / OPEN)
FOR FOUR WHEELERS _________________________________
FOR TWO WHEELERS _________________________________
     22. HEIGHT OF COMPOUNDING WALL _______________________________________
     23. HEIGHT OF PARAPET WALL _______________________________________
     24. SERVICES:- AVAILABLE ON SITE
SEWAGE LINEAA
WATER SUPPLY.A .
.ELECTRICITYA ;
SOLID WASTE.A .
.STORM WATERA .
   25. LIST OF    ENCLOSURES:-(PLEASE TICK)
 
NOTIRISED AFFIDAVIT(ON Rs.10/- STAMP PAPER)
 
OWNERSHIP DOCUMENT(NOTORISED)
 
ZONAL NOC/NAZUL NOC/BDA/MPHB/RAILWAYS/AIRPORT/SOCIETY
 
ORIGINAL DRAWINGS+7 BLUE PRINTS
 
OLD BUILDING PERMISSION+DRAWINGS
 
PLANNING PERMISSION
 
STRUCTURAL DETAILS
 
FIRE FIGHTING DETAILS
 
ANY OTHER DETAILS

(OWNER)

(ARCHITECT/ENGINEER)

                    MUNICIPAL CORP. LIC NO. ................