F.004PRELIMINARY DESIGN REVIEW

REQUESTPlease complete this application and submit it with required attachments to DUBAI SOUTH Regulatory Affairs / Land Planning & Development Control Dept.

A: General Information

Project Name:

Project Owner: Plot No:

Consultant:

B: Required Information and Submittals ◊ Affection Plan Reference No: ………………………… (Copy of Affection Plan to be enclosed)◊ Copy of Consultant’s Registration (Copy of Consultants Professional License to be enclosed)◊ Consultant’s Appointment Letter (Original on Owners Letterhead)◊ Preliminary Design Drawings (2 hardcopy sets signed by the Owner + 1 DWG format set)◊ Colored Perspective (2 No’s x A2 Size)◊ Project Details Sheet

C: Fees Total*: Submission Fee: AED 1 per M2 of BUA.

Received By: Receipt No.: Signature: *A Knowledge fee of AED 10 applies to all transactions.

D: Submission Details

Submission Details : Initial Submission Resubmission

Consultant:

STAMP Contact Person: Signature:

Email: Date:

Tel: Fax: Mobile:

E: For Official Use Only Document Receiving: TRN- File: DLC RC AC

Received By Signature Date

Remarks:

Approved Conditional Approval Resubmit

Name, Signature & Date

Reviewed By Architect

Reviewed By Planning / Zoning Engineer

Approved By VP – Land Planning & Development

Date Issued :

PDC-F-004, Rev. 4, Aug 2015 Page 1 of 1