Revs a5 of Jy 2018
City of Makati
URBAN DEVELOPMENT DEPARTMENT (UDD) i
Zoning Administration Division aA
APPLICATION FORM FOR LOCATIONAL CLEARANCE
Dy pitas
‘Aooostentor: [97] Business [=] Buting —[] Zoning Cerieste [7] Siaraae oters:
L INFORMATION (Please Print Leaibly)
Business Name/Project Title: San Lorenzo Ruiz Investment Holdings and Services, Inc.
Line of Business! Type of Construction: Investment & Holdings
Address: GrdFloor__ Mapua University 333 Sen Gil J. Puyat Belair
‘Unit No TFicor Level) TBulding Name) (House Noy ‘Cirest) Barangay),
Owner: San Lorenzo Invesment Holdings and Services, Inc. Landline No.
fn orized Representative: Ms. page app pe —, Landline No. 8851-8867
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2 Regrosentabe ms eset SNe ona
T-REQUIREMENTS end other Paty terns
(Do not fl-up)
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‘Authorization Letter (for ropes
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hereby certify that the above given information are true and correct to my own personal knowledge and that any
misrepresentation or misdeclaration shall render this application null and void. | also understand that failure to complete
or comply with any of the other requirements will result in delay and disapproval of the application.
etna O. Chen EVP & COO
‘Applicant 7 Representative Position / Title
(Signe ove ted Name)
suvecrnes ngawom oeoremeins “Sty 6 2021,
pl Mekatiptiagt exhibited to
Ime hisiher Resicence Certificate No. on_2 MAY 2019
Doc. No.
Page No.
Book No,
Series of 20
ee 0 29679,
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