SITUATIONAL REPORT

ON BUILDINGS/STRUCTURES THAT ARE IN VIOLATION OF SETBACK REQUIREM

UNDER RULE VIII, REVISED IRR OF PD 1096

LOCATION TOTAL RROW WIDTH

NAME OF BUILDING CERT. OF OCCUPANCY ADJOINING
NAME. (IF ANY) / DESCRIPTION (NO. OF (COMPLETE THE FRONT
OWNER (IF ANY) PROPERTY LINE (M)
STOREY/FLOOR) / USE OR CHARACTER OF ADRESS)
OCCUPANCY OF BUILDING / STRUCTURE
SINGLE STOREY COMMERCIAL
(ANY -HAW RESTAURANT) BUILDING BY-PASS ROAD
GUYONG., SANTA ZALDO DELA CRUZ
MARIA, BULACAN

TWO STOREY COMMERCIAL (STORE) BY-PASS ROAD

WITH ROOF DECK OLD STRUCTURE GUYONG., SANTA MARISSA AVENA 20.00
MARIA, BULACAN

BY-PASS ROAD
SINGLE STOREY COMMERCIAL (GUYONG RICARDO DE JESUS
GUYONG., SANTA 20.00
GEN. MERCHANDISE) BUILDING GONZALES
MARIA, BULACAN

BY-PASS ROAD
COMMERCIAL GUYONG., SANTA FUEL HUB 20.00
( GASOLINE STATION) MARIA, BULACAN

PREPARED BY: SUBMITTED BY:

DESIGNATION OF CONCERNED PERSONNEL

(SIGNATURE OVER PRINTED NAME)
OF SETBACK REQUIREMENTS
PD 1096

TOTAL RROW WIDTH

ACTUAL BUILDING / STRUCTURE SETBACK
ADJOINING THE FRONT MEASUREMENT REMARKS
PROPERTY LINE (M) AT RIGHT AT LEFT
AT FRONT AT REAR
SIDE SIDE

PARKING
2.00 FIREWALL FIREWALL
SPACE

20.00 9.00 FIREWALL 2.00 8.00

VACANT VACANT
20.00 6.50 FIRE WALL
LOT LOT

20.00 7.50 2.00 FIREWALL FIREWALL

SUBMITTED BY:

DESIGNATION OF CONCERNED PERSONNEL

(SIGNATURE OVER PRINTED NAME)

DATE: