overs 0 02018 City of Makati URBAN DEVELOPMENT DEPARTMENT (UDD) Zoning Administration Division ‘ iu APPLICATION FORM FOR LOCATIONAL CLEARANCE Billboaré Applicaton fo: [Z] Business] suxing — (] zoning certtcate — [[] signage DD otters: INFORMATION (Please Print Leaibly) Business Name/Project Title: Line of Business/ Type of Construction: Address: TU No TFIoar Laval) Tearaing Nammey THomeNET Tskea Gaara Owner: Landline No. Authorized Representative: ee Landline No, (Do not fil-up) BUSINESS RenovationiAs-BuillSignage) Poi 8 Ore O16 Mayors Pa Others QN CONTROL NO.: Application Received By: Action to be taken: (Should have represent Note: Locational Clearance will be jants are complete and no site visitverification is necessary. 0! (pm) at TELEPHONE Il, APPLICANT'S DECLARATION (To be NOTARIZED prior to ing of application) | hereby certify that the above given information are true and correct to my own personal knowledge and that any misrepresentation or misdectaretion 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. ‘Applicant Representative Position / Title (Gignotire over Prted Name) Subscribed and sworn before me this day of 20___at City of Makati affiant exhibited to me his/her Residence Certificate No. issued at on i Doc.No: Page No Book No. - Saris of 20 NOT FOR SALE Makati, Mahalin Natin...Atin Ito.