L M B Form No.

GSD - C - 3

N SKETCH

PLAN
AS PREPARED FOR

SITUATED IN THE

RURBAN CODE :
BARANGAY OF :
CITY OF :
PROVINCE OF :
ISLAND OF :
CONTAINING AN AREA OF SQ. M.

ZONE NO.:
PPCS-PTM/PRS 92:
BEARING: TRUE
SCALE 1:

CERTIFICATION

Date prepared:

GEODETIC ENGINEER
Reg. Cert. No. : Date :
License No. : Date :

S
R S O F T HE
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PH
N
E T I C E NG I

IL
I P P I NE S , I
OD

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