Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Firewall Consent

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

NEIGHBOR’S CONSENT FILE COPY

PROJECT TITLE:
OCCUPANCY CLASSIFICATION RESIDENTIAL COMMERCIAL INSTITUTIONAL INDUSTRIAL OTHERS

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 No. _____________________________________________________ Contact No. ___________________________________________________

REAR SIDE (Neighbor) APPLICANT:


______________________________________________ _______________________________________________
Signature over printed name Signature over printed name
Address: ______________________________________________________ Contact No. ___________________________________________________
Contact No. _____________________________________________________

NOTED BY:

______________________________________________
BRGY. CAPTAIN /HOMEOWNER’S ASSOC. PRESIDENT Signature over printed name

ACKNOWLEDGEMENT
SUBSCRIBED AND SWORN to before me this _______ day of _________________, 20___ in the Municipality of
_________, __________City/Province, affiant exhibited to me his/her Community Tax Certificate
No.______________,issued on___________
at_____________.

Doc #____________ Book #___________


Page #___________ Series of__________
_______________________________________________________________________________________________________________
NEIGHBOR’S CONSENT APPLICANT’S COPY
PROJECT TITLE:
OCCUPANCY CLASSIFICATION RESIDENTIAL COMMERCIAL INSTITUTIONAL INDUSTRIAL OTHERS

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 No. _____________________________________________________ Contact No. ___________________________________________________

REAR SIDE (Neighbor) APPLICANT:


______________________________________________ _______________________________________________
Signature over printed name Signature over printed name
Address: ______________________________________________________ Contact No. ___________________________________________________
Contact No. _____________________________________________________

NOTED BY:

____________________________________________
BRGY. CAPTAIN /HOMEOWNER’S ASSOC. PRESIDENT Signature over printed name

ACKNOWLEDGEMENT
SUBSCRIBED AND SWORN to before me this _______ day of _________________, 20___ in the Municipality of
________, ________City/ Province, affiant exhibited to me his/her Community Tax Certificate
No.______________,issued on___________
at_____________.

Doc #____________ Book #___________


Page #___________ Series of__________

You might also like