RRvsed 25 of March 2011, City of Makati URBAN DEVELOPMENT DEPARTMENT Zoning Administration Di APPLICATION FORM FOR LOCATIONAL CLEARANCE Application for: [—] Business [] Building Zoning Cerificate [—] NCC (Bldg / Bus) [] Others: T. INFORMATION (Piease Print Leaibly) Business Name / Project Title: Line of Business / Type of Construction: Location: (univHiouse Noy Gallding Name) eaeressy TBarangayNilaga) Owner: Landline No.: Authorized Representative Landline No.: Note: Authorized Representative must present ID and Authorization in claiming the Locational Clearance. Il, REQUIREMENTS (0o not fil-up) BUSINESS BUILDING raced coh Vicinity / Location Map 7 Sets Architectural Plans (Signed/Sealed/Folded) Barangay Clearance (Business) Barangay Clearance (BUI) Lease Agreement Lease Agreement L_] pri/secarticies Real Property Tax Receipt (Latest) Occupancy Permit (Building/Unit) (J cctitet/ oct DENR Certification (2 sets) Real Property Tax Receipt (Latest) (_] Tax Deciaration CCT/TCT/ OCT/ DENR Certification ‘Authorization Letter (for representative) Tax Declaration Others ‘Authorization Letter (for representative) Others Peaibeiion Reenkeadine PRE EVALUATION CONTROL NO.: Action to be taken: Inspection [__] Processing Note: Locational Clearance will be ready for release within two (2) days provided all requirements are complete and no site visitiverification is,necessary. Otherwise, you may follow-up your application on at telephone number 870-1734. MI. APPLICANT'S DECLARATION (To be notarized prior to fling of application) hereby certify that the above given information are true and correct to my own personal knowledge and that any misrepresentation or misdeclaration shall render this application null and void. | also understand that failure to complete or comply with any of the other requirements will result in delay and disapproval of the application. ‘Applicant / Representative Position / Title (Signature over Printed Name) ‘Subscribed and sworn before me this day of. 20 __at the City of Makati affiant exhibited to me hisiher Residence Certificate No. issued at on 7 oc. No. Page No. Book No. Series of 20 www.makati.gov.ph Makati, Mahalin Natin... Atin Ito.