To,
      The Vice-Chairman,
      Urban Development Authority,
      Visakhapatnam-530 003 (A.P.)

Sir,

I hereby give notice that I intend to carry out development in the site to erect / to re-erect demolish /  renewal / extension / addition / change of use in the building ___________________________________________on / in plot No.____________ Land, Town and Survey No.____________________ Block No.___________________ situated at road / street______________ town / village ____________________.

I forward here with the following plans and statement (item 1 to 10) whatever is applicable, in quadruplicate signed by me (Name in block letters) _____________________________ and the Licenced______________ Licence No.__________________ who has prepared the plans, designs along with copies of the statements / documents.

1. Top plan to a radius of 100 m.

2. Site plan.

3. Sub-division / Layout plan.

4. Building plan.

5. Service plan.

6. Parking arrangements.

7. Particulars of development.

8. Ownership title.

9. Urban Land Ceiling Clearance certificate from Competent Authority.

10. Draft drawn in favour of Vice Chairman, VUDA towards Development Charges / Building Licence fee for Rs.__________________.

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