Professional Documents
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DATE: _______________________
_____________________________
Signature over Printed Name
REMARKS:
( ) APPROVED CTC NO. : ____________________
ISSUED AT: __________________
( ) DISAPPROVED, ISSUED ON:__________________
REASON: _________________________
_______________________________________ CLEARANCE FEE: ____________
_______________________________________ O.R. NO : _____________________
DATE : _____________________
FERNANDO C. FRANCISCO
__________________________________ ______________________________
Brgy. Official / Councilman Punong Barangay
Prepared By; YOLLY D.M
Republic of the Philippines
BARANGAY MAPULANG LUPA
Valenzuela City
OFFICE OF THE PUNONG BARANGAY
APPLICATION FOR BARANGAY CLEARANCE (OCCUPANCY PERMIT)
DATE: _______________________
_____________________________
Signature over Printed Name
REMARKS:
( ) APPROVED CTC NO. : ____________________
ISSUED AT: __________________
( ) DISAPPROVED, ISSUED ON:__________________
REASON: _________________________
_______________________________________ CLEARANCE FEE: ____________
_______________________________________ O.R. NO : _____________________
DATE : _____________________
FERNANDO C. FRANCISCO
__________________________________ ______________________________
Brgy. Official / Councilman Punong Barangay
Prepared By; YOLLY D.M