NAME OF OWNER:_______________________________ NAME OF OWNER:_______________________________
BUSINESS NAME:________________________________ BUSINESS NAME:________________________________
COMPLETE BUSINESS ADDRESS:____________________ COMPLETE BUSINESS ADDRESS:____________________
CITY PLANNING AND DEVELOPMENT OFFICE CITY PLANNING AND DEVELOPMENT OFFICE
LOCATIONAL CLEARANCE LOCATIONAL CLEARANCE
No. __________ No. __________
TYPE OF ZONING:____________________________ TYPE OF ZONING:____________________________
as reflected in the City Land Use and Zoning Plan as reflected in the City Land Use and Zoning Plan
LOCATION IS: LOCATION IS:
Owned Owned
Leased/Rented Leased/Rented
TYPE OF PERMIT TO BE ISSUED: TYPE OF PERMIT TO BE ISSUED:
Permanent Permanent
Temporary Temporary
NOTE: Mayor's Permit will be automatically revoked when the NOTE: Mayor's Permit will be automatically revoked when the
property(where business is located) is needed by the registered property(where business is located) is needed by the registered
owner, and when any complaint is made against the business. owner, and when any complaint is made against the business.
Prepared by: Prepared by:
_______________________________ _______________________________
APPROVED: APPROVED:
ENGR. EMILMA U. PELLO ENGR. EMILMA U. PELLO
City Planning & Development Coordinator City Planning & Development Coordinator