Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698144572461.pdf (Mauritius)
Seal of Local Authority APPLICATION FORM FOR BUILDING AND LAND USE PERMIT (Designed for self-adherence to Guidelines) FOR ALL LOCAL AUTHORITIES REF.No…………/………./……..… Date of Application: ………………… Effective Date: ……………………….

Use this form to apply for a Building and Land use Permit for: (Please tick whichever applies) RESI – All residential development including enclosure/ wall.

COMM – Commercial development (shops, showrooms, restaurant, etc…).
INDU – Industrial development including hotels, (IRS), workshops, light & general industry.

SERV – Services (offices, banks, etc, community & religious development, educational institutions) SE – Commercial development by small enterprise or handicraft enterprise under the Small Enterprises and Handicraft Development Authority Act 2005.

MORC – Excision of 1 lot or subdivision of land among heirs.
SUI GENERIS – Extractive industry; polluting & noxious industry, builder’s yard, scrap yard, petrol filling station (as per 11th Schedule of Local Govt Act 2003 as amended).

MOT – Installation of any engine under the Building Act.
CLUSTERS **Commercial / Industrial / Services / Sui Generis** In case of an economic activity please state the cluster (as per the 11th schedule of the Local Govt Act 2003) applicable (Tick as appropriate)** The BLP Guide tells you how to fill in this form and about the plans and other documents that you must provide with this application.

Ask us for a copy and read it before filling in the application form.

As per Government Notice published by the Relevant Local Authority.
PART A About this form The BLP Guide Fees FOR OFFICE USE Documents submitted (** Please tick as appropriate) Title Deed/Lease & Planning clearance 3 sets of plan Location Plan Site Plan Layout Plans Elevations Sections Structural details Survey Plan for MORC only Power of Attorney/Owner’s consent Copy of I.D Card Business Registration Number Approved PER/EIA licence Newspapers publications Plate notification certificate CEB clearance CWA clearance General Rate receipt (where applicable) WWMA Clearance (where applicable) Certificate of Registration with SEHDA Application form (Parts A & B) filled in Neighbour’s consent Affidavit for Hardship case & MORC 1 Application and Site Details 1.
Applicant’s Name Title Mr. Mrs. Miss.

 Ms. Address and Contact Surname (or company) …………….…………….

Details First Name…………………………….………….

ID No…………………………………………….. We will post any correspondence Postal address……………………………….….. .

to this address ……………………………………………….…... …………………………………………….……..

Phone (Office)…………….. (Home)….………… Fax………………………... (Mobile)...………….

Email……………………………….…………….

2.


Location and Location…………………………........................ description of site ………………………………………………….. of proposed Extent…………………………………………… development/ construction TV No.

………………………………………….

3.

Applicant’s interest in the land/ Owner’s consent Is the applicant the owner of the site of proposed development?

YES If NO Name(s) of owner(s) ……………………….…… NO …………………………………………..…….… Signature of owner(s)…………………………… ID No.
………………………Date………...…… please state your legal authority under and attach documentary evidence (e.g.

Power of Attorney, written consent) If you are signing on the owner’s behalf as their legal representative, ………………………………………………….......... 4.

Description of …………………………………………..………………… proposed development …………………………………………………………….

…………………………………………………………….

…………………………………………………………….

…………………………………………………………….

(Specify the no.

of floors & no.

of res/comm.

units & type of commercial/industrial activity) 5.


(a)Present use of Use……………………………………………………………….

the site (applicable Hours of operation……………………………………………….

for an economic No.

of employees………………………………………………… activity) Ref.

No.

of relevant permit previously obtained………………… Date of cessation.………………………………………………… 2 (b)Details on Hours of operation……………………………………………… Proposed economic No.
of employees……………………………………………….. activity Plant/ Machinery to be installed………………………………… Type and quantity of goods to be produced / stored…………….

………………………………………………………………...... No.

of vehicles expected……………………………………….. 6.

Does your proposal Any scheduled activity under the Environment Protection Act for which an approved Preliminary Environmental Report or an Environment Impact Assessment licence is required?

involve any of the following?


A land conversion permit from the Ministry of Agro- Industry.

Notification procedures.

7.

Your declaration If applicant is a company or association, the form must be signed by a director or authorized person under common seal.

I apply for consent to carry out the development described in this application.

I declare that all the information given is true and correct.
I also understand that (a) an effective date will be given to my application immediately if all plans and documents specified in the technical checklist accompanying this form have been submitted.

(b) if incomplete the application will not be accepted nor registered.

Signature:……………………………………… Date:………………... 8.

Declaration by applicant I / we hereby declare that the following agents/companies have relating to service prepared the plans submitted by me/us.

providers, e.g.
providers, e.g.

/ Architect/ Name of Architect/Town Planner _____________________ Town Planner/ draughtsman/Land Surveyor: _____________________ Draughtsman/ Engineer: _____________________ Sworn Land Surveyor and Engineer Vat registration no.

if applicable: ………………….. Signature: ……………………………….

Office Use: Receiving Officer Name Signature Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3