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Annex 2
Annex 2
This is to authorize, Engr. Ramon P. Velasco Jr., whose specimen signature appears below, to
conduct the Initial Environmental Examination (IEE), process and secure the necessary DENR
clearances/permits relative to the application for an Environmental Clearance Certificate for the
Construction of a Petron Filling Station located at Burgos corner Quirino Sts., Imelda, Labason,
Zamboanga Del Norte.
Owner/Operator
Specimen Signature
IEE Preparer
SUBSCRIBED AND SWORN to before me this ____ day of ____________ 201 in City of
Zamboanga, Philippines, Affiant exhibiting to me his Community Certificate No. ______________ issued
at ______________ on .
NOTARY PUBLIC