Republic ofthe Philippines
CITY OF OLONGAPO.
OFFICE OF THE CITY MAYOR
BUSINESS PERMIT & LICENSING OFFICE
Business Ore Sip Sop Rn, 101, GF Cy Hal Rizal Avene, Wes! Baca, Olngepo Cty 2200, Props
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[APPLICATION FOR MAYOR'S PERMIT
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‘SWORN DECLARATIONS (Foralliypes of Business except Real Ewtate Leeson)
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SANDRA DEE S. ECALNIR
Tied, Busress Pom & Doorang Oca
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TRANSPARENCY AND GOOD GOVERNANCE
PLiez40In connection with your application for Business Permit, please secure the following documents &
clearances and attach them to your application:
(vaeudcaloaionot busress) | ~ (lo Coneered GOCC) upatonal Perit of Employees
Basic Requirements: Regulatory & National Clearances: Special Requirements: For Renewal Only:
iar |G Prevous Hayes Perr
buy Aompshe Aten |-erFeig/Locatona Clarence | pea popenyTacPayment oe
Fam gbtinessPamt | (CoO ary Oa) pape Te not, cpt cas aa
Cone F x2 or Passport Size | C Occupancy Perit Big. Insp. |g {eee Caeyect al oes Pet feat
podamet Contents (Freed Prgri) ij
(ecw Oe) cle ct Caaee ot Sales in Yu's Auta
pyof DTU SECICOA | Santry Pert (Forhible Nat Sa ols) Finance Statement and Income
Corie of Regiskaton eu ea os) CAuberzaton & Noiaized Agreement | Tax Retun| ander Ober Seppring
procures LLatiesy pec Catteae | Netrand bocahn Repeat! | _Dosmes
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gga ceo vOCkaance |, | Some’ tet o t
‘Barangay Clearance SSS / Phillealth / HDMF Cl OAs ‘Undertaking (for New Appications Only)
Number of Employees (ifany):
TURN AROUND TIME TRACKING SHEET
3 ons
sexs | enocess | rmocessoue | neem | ruccur | ace jaiae:
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cuamaces ove | scruumncr ESLLATOROFPCERPRESTATES
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BPLeMa2509OATH OF UNDERTAKING
L owner of the == sébusiness located at
Olongapo City, do hereby taking oath that I will not use any road/street/alley
in Olongapo City as parking/loading/unloading/terminal of my vehicles being used for my business
operation, That I’m aware that in case of violation of ‘Ordinance No. 22 Series of 2016 and/or any of the
ordinances, laws, pertinent rules and regulations, it shall be cause for the antomatic revocation and
closure of the specific establishment,
Affiant
SUBSCRIBED AND SWORN before me this ____ day of at Olongapo
City, affiant exhibited to me his/her LD. No.
Doc. No.
Book No.
Page No.
Series of 20