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Locational Clearance Application

This document is an application for a locational clearance from the Municipality of Baganga in Davao Oriental, Philippines. It collects information such as the applicant's name and address, project details like location, area, cost, and nature. It asks if the project requires notices or is related to other government agency actions. The applicant and authorized representative must sign to apply, and it will be notarized. The application is for determining if a proposed development or project is allowed based on land use and other local regulations.

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Maya Katchiro
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5K views1 page

Locational Clearance Application

This document is an application for a locational clearance from the Municipality of Baganga in Davao Oriental, Philippines. It collects information such as the applicant's name and address, project details like location, area, cost, and nature. It asks if the project requires notices or is related to other government agency actions. The applicant and authorized representative must sign to apply, and it will be notarized. The application is for determining if a proposed development or project is allowed based on land use and other local regulations.

Uploaded by

Maya Katchiro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

MUNICIPALITY OF BAGANGA
Baganga, Davao Oriental

APPLICATION FOR LOCATIONAL CLEARANCE


Application No. : _________________________ Date Issued : _________________________
Date of Receipt : _________________________ Amount Paid : Php _____________________
PMO No./OR No. : _________________________

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/TEL.OF AUTHORIZED REPRESENTATIVE

7. PROJECT TYPE 8. PROJECT NATURE


( ) New Development () Others (specify)
_______________________
9.PROJECT LOCATION 10. PROJECT AREA (in square meters)
(No. Street, Bgry., Municipality/Province) Lot : __________
Bldg. : __________ Improvement __________________
11. RIGHT OVER LAND 12. PROJECT NATURE
( ) Owner Others (Specify) ( ) Permanent
( ) Lease ______________________ ( ) Temporary
13. EXISTING LAND USE OF PROJECT SITE
( ) Residential ( ) Commercial ( ) Others ( ) Vacant/Idle ( ) Agricultural (Specify Crop) _______________
( ) Institutional ( ) Industrial ( ) Tenanted ( ) Not tenanted
14. PROJECT COST (in pesos, write in words and figures)
______________________________________________________________ (Php ________________________)
15. IS THE PROJECT APPLIED FOR THE SUBJECT OF WRITTEN NOTICE (S) FROM THE LOCAL GOVERNMENT
UNIT (LGU) TO PRESENT OR APPLY FOR LOCATIONAL CLEARANCE (LC)?

( ) Yes (Pls. Indicate the following ( ) No


Issuing Officer
____________________________
Order in the Notice
____________________________
Date of Notice
____________________________
16. IS THE PROJECT APPLIED FOR THE SUBJECT OR RELATED ACTION(S) WITH OTHER OFFICES OF THE
BOARD AND/OR LOCAL GOVERNMENT UNIT?
( ) Yes (Please indicate the following) ( ) No
Office where similar action(s) was filed___________________
Date Filed ___________________________
Actions Taken ________________________
17.PREFERRED MODE OF RELEASE OF DECISION:
( ) Pick up ( ) By mail, addressed to ( ) Applicant ( ) Authorized Representative
18. SIGNATURE OF APPLICANT 19. SIGNATURE OF AUTHORIZED REPRESENTATIVE

Republic of the Philippines )


_____________________ ) S.S.

SUBSCRIBED AND SWORN TO before me this ______ day of ____________, 20___ in the City/ Municipality
of _______________, Province of_______________________. Affiant exhibited his./her Community Tax Certificate
No. ______________ at _________________ on ______________________.

NOTARY PUBLIC

Doc. No. _____________


Page No. _____________
Book No. _____________
Series No. _____________

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