BASIC REQUIREMENTS FOR LOCATIONAL CLEARANCE/

CERTIFICATE OF ZONING COMPLIANCE

I. Basic Requirements (two copies per documents)

1. Duly accomplished and notarized APPLICATION FORM

2. Any of the following requirements relative to RIGHT OVER LAND;
a. Photocopy of certificate of title in case registered in the name of applicant
b. In absence of any existing certificate of title in the applicant, submit
b.1. Certified true copy of the latest tax declaration and
b.2. Pro-forma affidavit (see attached form) to the effect that
- he applicant is the owner of the property subject of the application
- that the property is situated within alienable and disposable lands and outside lands reserve for the
public domain;
- that the property is free from liens and encumbrances of the property, or stating the liens and
encumbrances of the property
- that the property is/is not tenanted ( in case the property is planted to rice and corn )
c. In case the property is not registered in the name of the applicant, submit duly Notarized deed of sale or deed of
donation, or contract of lease or authorization to use land, whichever is applicable plus the photocopy of the
owner’s certificate of title in the absence of title, the tax declaration and pro-forma affidavit as described in the
title b. hereof.

3. VICINITY MAP showing the existing land uses within the prescribed 100 m radius from the lot boundary of the
project site:
a. For projects of local significance, the vicinity should cover a minimum of 100 meters radius and the map need
not be drawn to scale provided the relative distances of existing land uses to the project site lot boundaries are
indicated;
b. For projects of national significance, the vicinity should cover a minimum of one kilometer- radius and should be
drawn to scale.

Note: Please refer to list of projects of national significance at the back hereof

4. SITE DEVELOPMENT PLAN showing the project site lot area boundaries and dimensions of proposed
improvements within the project site; the plan need not be drawn to scale for projects of local significance.

5. FILING AND LEGAL RESEARCH FEES – Please refer to Ordinance Schedule of Fees
6. CPDC/City Mayor’s Certification as to site of zoning classification.

II. Additional Requirements (two copies per document)

1. For all projects to be situated in tenanted rice and corn lands;

- Endorsement/Recommendation from the Department of Agrarian Reform for the
Conversion into other uses;
2. For Manufacturing project: DESCRIPTION OF INDUSTRY citing among others the
Following:
2.1 Types and volume of raw materials
2.2 Products manufactured or stored
2.3 Average production output/capacity per day/week/month
2.4 Industrial wastes and plans for pollution control
2.5 Description and flow of manufacturing process
3. For Applicants filed by Authorized representatives;
SWORN SPECIAL POWER OF ATTORNEY for representative to file/follow-up application and claim decision to
the application.
4. Environmental Compliance Certificate
5. National Pollution Control Commission (NPCC) Clearance for large scale.
(Poultry, Piggery, Saw Mill and other related industry)

CITY PLANNING AND DEVELOPMENT OFFICE

2nd Floor City Hall, City of Koronadal
Tel. No. (083) 228-4609
Application No. ________________
PMO/OR No. ________________
Date Issued/Amt. Paid ________________

APPLICATION FOR LOCATIONAL CLEARANCE/CERTIFICATE OF ZONING COMPLIANCE

1. NAME OF APPLICANT (Last, First, Middle) 2. NAME OF CORPORATION

3. ADDRESS OF APPLICANT 4. ADDRESS OF CORPORATION

5. NAME OF AUTHORIZED REPRESENTATIVE 6. ADDRESS OF REPRESENTATIVE

7. PROJECT TYPE 8. PROJECT NATURE

( ) New Development ( ) Others
9. PROJECT LOCATION 10. PROJECT AREA (in square meters)
Lot:
(Number,St.,Barangay,City/Mun.) Building/Improvements:
11. RIGHT OVER LAND 12. PROJECT COST
( ) Owner ( ) Lessee ( ) Others P __________________
13. EXISTING LAND USE PROJECT SITE
( ) Residential ( ) Commercial ( ) Agricultural (specify crop)
( ) Institutional ( ) Industrial
14. IS THE PROJECT APPLIEED FOR THE SUBJECT WRITTEN NOTICE FROM THIS COMMISSION
AND/OR ITS DEPUTIZED ZONING ADMINISTRATOR TO THE EFFECT REQUIRING FOR
PRESENTATION OF LOCATIONAL CLEARANCE/ CERTIFICATE OF ZONING COMPLIANCE (LC/CZC)
OR TO APPLY FOR LC/CZC? ( ) No ( ) Yes If Yes
Please answer the following:
14.a. Name of HLRB Officer or DZA who issued the notice(s)
14.b. Date of Notice __________________ 14.c. Orders indicated in the notice(s)_____________
15. IS THE PROJECT APPLIED FOR THE SUBJECT OF SIMILAR APPLICATION (S) WITH OTHER
OFFICE OF THE COMMISSION AND/OR DEPUTIZED ZONING ADMINISTRATOR? ( ) Yes ( ) No
15.a. Other HLRB Office(s) where similar applications is filed : _______________________
15.b. Date Filed: ____________________ 15.c. Action taken by office(s) mentioned is Sec.14
16. PREFERRED MODE OF RELEASED OF DECISION: ( ) Pick-up
( ) By mail, addressed to: ( ) applicant ( ) authorized representative

17. SIGNATURE OF APPLICANT 18. SIGNATURE OF AUTHORIZED REPRESENTATIVE

Republic of the Philippines) s.s.

SUBSCRIBED AND SWORN TO before me this_________day of____________200____ in the City of Koronadal

Province of South Cotabato. Affiant exhibited to me his/her residence Certificate No. ______________________.
Doc. No._______________
Page No._______________
Book No._______________
Series of _______________
Notary Public