APPLICATION FOR LOCATIONAL CLEARANCE/CERTIFICATE OF ZONING COMPLIANCE

Application No.

Date of Receipt

REQUIREMENTS for Residential/Commercial (Locational Clearance)

Notarized APPLICATION FORM (refer to Mun. Zoning Ordinance re: bldg. Setback & ht.)
House FLOOR PLAN w/complete dimensions/Spec./Bill of Materials/List of Equipment & Cost
Land title, contract-to-Sell, Contract-of-Lease, or Deed of absolute sale (in case house owner is not the lot owner, affidavit permitting to use the lot)
TAX DECLARATION with latest Official Receipt of Tax Payment
Barangay Clearance (PERMIT TO CONSTRUCT) (Optional)
Site Development Plan
Photocopy of License and PTR of Engineer or Architect

Applicant's Last Name

Applicant's First Name

Applicant's Middle Name

Name of Corporation

Address of Applicant

Address of Application

Authorized Representative's Last Name

Authorized Representative's First Name

Authorized Representative's Middle Name

Address of Authorized Representative

Project Type

Project Nature

New Development

Improvement

Others

if Others, please specify

Project Location

Number

Street

Barangay

City

Municipality

Province

Project Area (in square meters)

Project Total Lot Area

Total Bldg. Floor Area

Right Over Land

Owner

Lease

Others

if Others, please specify

Project Tenure

Permanent

Others

if Others, please specify

Existing Land Uses on Project Site

Residential

Commercial

Industrial

Institutional

Vacant/Idle

Agricultural (specify below)

Tenanted

Not Tenanted

Others (specify below)

if Agricultural or Others, please specify

Project Capitalization (in pesos, write ni words and figures)

Is THE PROJECT APPLIED FOR THE SUBJECT OR WRITTEN NOTICE(S) FROM THIS ZONING ADMINISTRATOR TO THE EFFECT REQUIRING FOR PRESENTATION OF LOCATIONAL CLEARANCE/CERTIFICATE OF ZONING COMPLIANCE (LC/CZC) OR TO APPLY FOR LC/CZC?

Yes

Signature of Applicant

Signature of Authorized Representative