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LOCATIONAL CLEARANCE REQUIREMENTS: 7 2opies Application Form (should be noterized) 2 Copies of Tite certified by the Register of Deeds (Tagum ay) within the eurtent year =¥ 2 Copies of Tax Clearance (atest) =e 2 Copies of Tax Decaration (atest) ¥ Complete set of Bing Plan ((signed &seales by the Engrs. (CE PEE, and Master lumber )& Owner) 2 Copies of cost estimates (signed & sealee by Engrs. (CE, PEE, and Master lumber) & ‘Owre) subject to verification by the Zoning Officer eurng the evaluation of documents ¥-_2Specitistion (signed & sales by Engrs (CE, PEE, Mastar Plumber) & Owner) ¥_ Xerox copy of PTRand License of the Engrs. (CE, MP, PEE) = 2Copies of Barangay Clearance ¥ pe. Folger (long) wit fastener ¥ Efile scan Fes of ll submits documents ‘other supporting documents it necessary Deed of See, in case of Conitional Deed Sale, a specie provson allowing the vendee to introduce improvement is equired Affidavit of Consent, ease of contrac, Afidovit of Nor-ental( for non-owner) Special Power of attorney | for transacting party other then the owner) {Gesolin stations, Poutry,Celsites, Slaughter House, Treatment Plant, Foctory Plone) ~ECC/ ENC from DENA/ Barangay Resolution Affidavit of Non-objection on adjacent lot owners/resience ¥ Wsible Project ianage & Written appeal adress to the Mayor tor proposed project. DAR Conversion and is non-conforming for uses) lo bull stuctue res, Open ot pace nt) 2 Copies Application Form [shouldbe noterized ¥ 2Copies of Tile certified bythe Register of Deeds { Tagum city) within the curert year 2 Copies of Tax Clearance (etest) 2 Copies of Tax Declaration (atest) + copy Viiity Map cleary ar specifically the exact location 2 Copies of Barangay Clearance 1 pe Foler (ong) with fastener Eriles/ scan fies of all submits documents sacs In Yes , plese answer ute sano (16-b) Action taken by the Zoning Office Vode of () Pick-up by Applicant ‘TB. Signature of Applicant (Over Printed Name) Republic ofthe Pps @anabo ciy) 53 SUBSCRIBED AND SWORN TO before me this the City of Panabo, Province of Certt_ sy me Whien previous application was fled lig or the Phitippines © of Dava del Norte TY OF PANABO & DEVELOPMENT OFTICE, email Address: epdo2kS@yahoo.corh NG SECTION LOCATIONAL CLEARANCE. idle Name) 2, Name of Corporation 8. Project Nature () New Development ©) Improvement (-) Others, Specify: _ z 16, Project Area (in sq. mn.) Floor Area! _Lot Area: Bhileling Impravements_ 12, Project Tenure (C ) Permanent (7 Temporary, specily yeas a Institutional () Agriculturat(. ) Commereiat (Others, Specify: ‘ce from this section and or the Zoning Officer, to the effect (Yes (No of issuing oftiest (Zoning Officer) _{15-c)Orders indicated in the Notice: F application with the Zoning Officer? () Yes () No ( ) By mail addressed to () Through Authorized Representative, 15, Signaiure of Authorized Representative (Over Printed Name) day of Ea an Davao del Norte, affiant exhibited to me bisher Residence at on Republic or ine Phitippines: Provines of Davao del Norte CITY OF PANABO CITY PLANNING & DEVELOPMENT OFVICE jeFax. 084 822-2262 email Adress: epdo2kS@yahoo.com, ZONING SECTION ‘Application No: Date Receiver Decision No: = APPLICATION FOR LOCATIONAL CLEARANCE T Name of Applicant 5 Name of Authorized Representai:ve 8. Project Natur (.) New Development () Others, Specify: _ Tojo Location Ta ciect Are Gna) Floor Area Thx Arse Bing tm Ti, Right Over Land 12. Praject Tenure (Owner (Permanent (Lease (70th, Specify: () Temporary, specify yores: 19. Existing land tise of Project Cy Residential —(-) edvtial—) stitutional ( ) Agricnttral(. ) Commercial ( )Tenanted (ot “enanted (Others, Specify Capitalization (1 ess, wit ta wards & figures) ‘14, Project Cost? “applied for subject oF wrilfon notice Irom this section and /or the Zoning Oiifcer, to the effect requiring presenting Locational Clesrance (LC)? ) Yes (No It"Yes", please answer the following (15a) Name of issuing officer (Zoning Officer) (1S-b) Date of Notice/s: _ (15-0) Orders indicated in the Notice ‘To: is the project approved or the sv. ir Ves™, please answer the following (16-3) Date when previous application was Ged (16-b) Action taken by the Zoning Office ( ) By mail addressed to ( )Through Authorized! Representative, (Over Printed Name) Republic of the Philippines. (Panabo City) ss. SUBSCRIBED AND SWORN TO before me this the City of Panabo, Province of Davao del Norte, affiant exhibited to meh Cert issued al

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