OBO Form BP-15NC

FILE COPY
N E I G H B O R ' S C O N S E N T
Name of project:

New Construction Renovation Extension Fencing Inside/Outside Improvement,

specify ______________
Occupancy classification:
Residential Commercial Institutional Industrial Others, specify ______________

This Neighbor's Consent is issued upon the request of Mr./Ms.

__________________________________________________ with postal address at
______________________________________________________________________________________ for the proposed
construction at his/her property located at _______________________________________________________.

LEFT SIDE (Neighbor) RIGHT SIDE (Neighbor)

Signature over printed name Signature over printed name

Address Address
Contact # Contact #

REAR SIDE (Neighbor) CERTIFIED TRUE AND CORRECT

___ ________________________________
Signature over printed name Signature over printed name Signature over printed name
Address Applicant Barangay Captain
Contact #
ACKNOWLEDGEMENT

SUBSCRIBED AND SWORN to before me this day of , 20 . In the Municipality/City of

_ Province of , affiant exhibited to me his/her Community Tax
Certificate No. , issued on at .
Doc #
Page #
Book#
Series of

OBO Form BP-15NC

N E I G H B O R ' S C O N S E N T
OBO Form BP-15NC
Name of project: APPLICANT COPY
New Construction Renovation Extension Fencing Inside/Outside Improvement,
specify ______________
Occupancy classification:
Residential Commercial Institutional Industrial Others, specify ______________

This Neighbor's Consent is issued upon the request of Mr./Ms.

__________________________________________________ with postal address at
______________________________________________________________________________________ for the proposed
construction at his/her property located at _______________________________________________________.

LEFT SIDE (Neighbor) RIGHT SIDE (Neighbor)

Signature over printed name Signature over printed name

Address Address
Contact # Contact #

REAR SIDE (Neighbor) CERTIFIED TRUE AND CORRECT

____________ ________________________________
Signature over printed name Signature over printed name Signature over printed name
Address Applicant Barangay Captain
Contact #
ACKNOWLEDGEMENT

SUBSCRIBED AND SWORN to before me this day of , 20 . In the Municipality/City of

_________ Province of __________ , affiant exhibited to me his/her Community Tax
Certificate No. , issued on at .
Doc #
Page #
Book#
Series of