PERMIT TO ENTER
I, __________________________________________, with postal address at
______________________________________________________ is the registered owner
of a parcel of land situated in _______________________________________, the title
thereto being evidenced by OCT/TCT/EP/CLOA No. __________________________,
issued by the Register of Deeds of ___________________________, hereby authorizes,
permits, and allows the Republic of the Philippines acting by and through the Department of
Public Works and Highways, Region IV-A, EDSA, Quezon City, its successors’ and assigns,
contractors and subcontractors, and agents and representatives, unimpeded entry and
unlimited access to said parcel of land and to conduct and undertake surveying, clearing and
removal of improvements, trees, crops and other items, soil testing and such other tests,
designs and pre-construction and actual construction activities as well as other activities
related to or may be for the design construction, completion, operation and maintenance of
its ___________________________Project.
_________________________
Landowner
Print Name & Signature
________________________
Address
Date: _______________________
Signed in the Presence of:
___________________________ __________________________