Application Form for BUSINESS/BUILDING PERMIT

Republic of the Philippines

OFFICE OF THE CITY PLANNING AND DEVELOPMENT COORDINATOR
City of Zamboanga

APPLICATION FOR LOCATIONAL CLEARANCE/CERTIFICATE OF ZONING COMPLIANCE

BUSINESS APPLICATION BUILDING APPLICATION
BUSINESS APPLICATION NO. ________________

1. FIRST NAME OF APPLICANT: (Please Print) M.I. FAMILY NAME:

2. ADDRESS OF APPLICANT: (Street, Barangay) 3. NAME OF BUSINESS/CORPORATION:

4. NAME OF AUTHORIRIZED REPRESENTATIVE: 5. ADDRESS OF AUTHORIZED REPRESENTATIVE: (Street, Barangay)

6. LINE OF BUSINESS/TYPE OF BUILDING: 7. AREA AND LOCATION OF BUSINESS/BUILDING:(Street, Barangay)

8. RIGHT OVER LAND: 9. PROJECT STATUS:

Owner Lessee Others (Specify) Permanent Temporary (Specify)

10. EXISTING LAND USE OF BUSINESS/PROJECT SITE:

Residential Commercial Institutional Industrial Others (Specify)

11. CAPITALIZATION/PROJECT COST (In Pesos, write in words and in figures):

12. SIGNATURE OF APPLICANT: 13. SIGNATURE OF AUTHORIZED REPRESENTATIVE:

14. SKETCH OF BUSINESS/BUILDING LOCATION:

15. REQUIREMENTS:
BUSINESS PERMIT BUILDING PERMIT
1.A. Photocopy of Land Title (For LOT OWNER only). 1. Application form duly notarized.
B. Lease Contract duly notarized and photocopy of Land Title 2. Photocopy of Land Title (in the absence of ownership, authority
C. Photocopy of Land Title and authorization from lot owner from the lot owner for the use of the lot or Contract of Lease duly
notorized).
2. Affidavit from the adjacent lot owner interposing no objection 3. Photocopy of Tax Declaration.
to the project. 4. Bill of Materials.
5. Building Plans
6. Tax Map

REPUBLIC OF THE PHILIPPINES)

___________________________) S.S.

SUBSCRIBED AND SWORN to before me this _______ day of ________________, 20 _________ in the City of Zamboanga
Affiant exibiting to me his/her Community Tax Certificate No. ________________ issued at _________________________
___________________________on ____________________________, 20 ________.

Doc. No. _________

Page No. _________ _________________________________
Book No. _________ Notary Public
Series of __________