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:

Address of Applicant: Tel. No.

Name of Authorized Representative:

Address:

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):

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

Location:

Title No. Lot Area (Square Meters): Land Classification/Tax Declaration No.

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