Republic of the Philippines

Province of Cavite
CITY OF DASMARIÑAS

CITY PLANNING AND DEVELOPMENT OFFICE

Application No:
Date of Application:

APPLICATION FORM FOR LOCATIONAL CLEARANCE

Name of Applicant:
VIRGILIO D. MANAHAN JR.
Address of Applicant: Tel. No.
Blk 11 Lot 8 Chester Place Subd., Brgy Burol, Dasmarinas City, Cavite +639176223231
Name of Authorized Representative:
JIM BRYAN E. RAZ
Address:
906 Civic Prime Bldg., Civic Drive, Filinvest Corporate City, Alabang, Muntinlupa City
Name of Registered Owner of the Lot (If applicant is not the registered owner)
If applicant is the lessee, present original/certified true copy of the Contract of Lease

Address of the Registered Owner:

Box 2 Project Purpose

Project Title (specify use and whether new/renovation):

New Two-Storey Residential Building

Type of Project (If construction is for commercial/industrial purposes):

Location:
Blk 11 Lot 13 Chester Place Subd., Brgy. Burol, Dasmarinas city, Cavite
Title No. Lot Area (Square Meters): Land Classification/Tax Declaration No.
057-2021027733 107 SQUARE METERS 2370021015081

Signature of Applicant/Authorized Representative:

Documentary Requirements:
Certified True Copy of Title
Certified True Copy of Tax Declaration
Tax Clearance
Lot Plan / Locational Map
Original/Certified True Copy of Contract of Lease (if lot is leased)
Articles of Incorporation, if applicant is a corporation
Supporting Documents