Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697809012013.pdf (Mauritius)
ROAD DEVELOPMENT AUTHORITY APPLICATION FOR PERMISSION TO DISPLAY ADVERTISEMENT Under Sections 22 to 25 of the Roads Act Note: A non – refundable processing fee of Rs 500/- is payable per application at the time of application.
Payment to be made by Cheque or Cash, in favour of the Road Development Authority 1 Applicant’s Details: Name of Applicant/Company: Address of Applicant/Company: for Office Use Business Registration Number of Applicant/Company: Phone No: Fax No: Email: Name of contact person: Phone No: Type of Advertisement - (tick in appropriate box) Billboard Trivision Directional Panel Totem Wall Painting Flag Other Purpose of Advertisement Application ( tick in appropriate box) New construction number) Alteration Renewal (for renewal or alteration, applicant to submit previous permit 2 3 4 Location of Advertisement District: Address:……………………………………………………………………………….
(Town/Village & street names) 5 Land owner’s Details (where advertisement is to be fixed) ………………………………………………………….. Name & Address of landowner/s …………………………..

Phone No: ……………………………………………….. ID.


Number: Copy of Title Deed/ Certified Copy of Memorandum of Survey submitted Yes No I/We, undersigned landowner/s hereby authorise above-named applicant to erect an advertisement on my/our property and also undertake to grant the RDA authorisation to enter my/our premises to remove the advertising structure in case Applicant fails to comply with any of the conditions imposed in the Letter of Intent or Permit.
I/We understand that legal action may be envisaged against me/us for denial of access to the RDA or its representatives to proceed with the removal of Applicant’s illegal advertising structure.

Signature of landowner/s ……………………………………………………………………………….
Dimension of Advertisement 6 Width (metre) Height (metre) Area (square metre) Notes for Guidance: Maximum area permitted: 75 m2 1.2m2 (a) Billboard: (b) Indication: Advertisement Description –tick in appropriate box (Please note that a permit is required for each face of the advertisement) Type: Single Face Double Face Triple Face 7.1 7.2 8.1 8.2 Billboard Support System (tick in appropriate box) On roof Free Standing Miscellaneous (Tick in appropriate box) Have you submitted Location & Site Plan?
*(mandatory) Have you submitted an original Certificate from a Registered Professional Civil/Structural Engineer certifying that billboard is capable to withstand a wind gust of 120 km/h without flex.

8.3 Have you submitted evidence of Insurance cover?

(mandatory for billboard) 8.4 8.5 8.6 Is billboard to be placed near uninsulated or any live high tension electrical wires?
Yes No If yes, have you submitted clearance from CEB State height of billboard (from ground level to top of Billboard) If on roof, state height of billboard from roof surface to top of billboard on Wall Yes Yes Yes Yes No No No No m (maximum permitted – 15 m) m (Maximum permitted – 5m ) 9 Road Environment (tick in appropriate box) For office use Along Motorway Along Main Road 10 Proposed or Existing setback of Advertisement (insert distance in box) Distance from nearest edge of advertisement to road border is ....................metres ( SEE NOTE 1 – below) (Note 1) Region & size of billboard Motorways - Billboard up to 12 m² Motorways - Billboard exceeding 12 m² but up to 48 m² Motorways - Billboard exceeding 48 m² but up to 75 m² Main Roads - Billboard up to 12 m² Main Roads - Billboard exceeding 12 m² but up to 48 m² Main Roads - Billboard exceeding 48 m² but up to 75 m² Minimum permitted setback of Billboard from road border/footpath 5 metres 10 metres 15 metres 2 metres 3 metres 10 metres *For Indication panel, minimum setback from road border is 2.0 metres 11 Spacing of billboard - ( insert distance in box) State distance of billboard from nearest existing billboard facing the same direction (see notes 2 for guidance) metres (Note 2): Billboard & Trivision Minimum spacing between two billboards / trivision, shall at least be 100 metres, regardless of their facing direction along the classified - roads; 12 Distance of billboard from an intersection / roundabout Distance of billboard from nearest corner/stop line/give way line of intersection/roundabout (see notes 3 & 4) metres Note 3 - Along Motorways - Distance of billboard from corner / stop line / give way line of an intersection or roundabout shall be 100 metres Note 4 – Along main roads- Distance of billboard from corner / stop line / give way line of an intersection or roundabout shall be 30 metres 13 Processing Fee Payment Effected Cheque No.
……………………..

Date ………………… Receipt No…………………..

Date ……………..

I hereby declare that the particulars given in this application are true and correct and I am aware that any incorrect information will lead to delay in processing and/or rejection of the application.

I hereby further declare that any non- compliance with respect to the conditions mentioned in Letter of Intent/Permit letter will lead to its cancellation.
Furthermore, should I fail to remove the advertisement, the Road Development Authority may cause same to be removed and I agree I will not claim for any costs associated with damages caused to the advertising structure during its removal.
Date: ......................... Name of Applicant: ........................................................................ Signature of Applicant: ........................................ 1.Site visit effected by: (a) Name of officer/s : ............................................ rank:……………………………………………….. 2.

Date of site visit: ..................................................... 3.

Is application in conformity with guidelines?

Office Use only 4.
Office Use only 4.

Recommendation of C.I/SOW: ...................................................................................... ...................................................................................... ....................................................................................... Refundable Fee applicable?

Yes No Yes No Date: ................................
If no, give comments: ............................................................................................. ............................................................................................. ............................................................................................ ............................................................................................ ............................................................................................ Name of C.I/SOW.
.................................................................................... Signature : ....................................................... 5.

Issue of Letter of Intent (LOI) Name of Officer:……………………………………… 6.

Issue of Permit Date of site visit after LOI: ............................... Name of Officer:……………………………………… Rank:…………………………………… Signature :……………………………… Has Applicant complied with conditions set in LOI?
Yes No If no, give comments: ...................................................................................... ...................................................................................... Cleared by: ……………………………………….. Name :……………………………………………… Rank:…………………………………… Sig.

of inspecting officers: (a)……………………………… Rank:…………………………………… Signature /Seal :……………………………………… Signature :……………………………… Date: ………………………………… Permit no.

: ........................................


Permit issued on : ..............................

Date: October 2021