REPUBLIC OF THE PHILIPPINES

PERMIT NO____________
APPLICATION NO
MUNICIPALITY OF BALIUAG SERIES OF_________
PROVINCE OF BULACAN

OFFICE OF TH E BARANGAY TANGOS

BARANGAY BUSINESS CLEARANCE

TO WHOM IT MAY CONCERN:

Permission is hereby granted to Mr/Mrs/Miss ____________________________________of ______________

______________________to manage and operate _______________________________________________ under the
commercial name of _______________________________________________________ at _____________________
Barangay, Tangos, effective today _________, _____ up to December 31, ___
This permit is granted subject to the condition that all existing laws, or ordinances, rules and regulations is
governing the business hereby permitted are properly observed and subject to further to the condition mentioned in the
business application which empowers the Barangay Captain or his authorized representatives to close or padlock said
business place in case of revocation of this permit.
This permit is not valid without the necessary fees and/or licenses as provided by laws or ordinances.
This permit is subject to revocation anytime when the interest of the public requires:
Special conditions
Issued this _____________ day of ___________________, ____ at Barangay Tangos
Barangay Permit Php _____________________
Sanitary Permit _____________________
Surcharge _____________________ BERNARDO B. GONZALES
Interest _____________________ Barangay Captain
Miscellaneous _____________________ NOTE:
Total _________________
Paid Under OR No To be displayed on a conspicuous place inside the
Issued at Baliuag, Bulacan on ____ Business establishment.