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BASIC REQUIREMENTS FOR LOCATIONAL CLEARANCE/ CERTIFICATE OF ZONING COMPLIANCE I.
Bas Basic Requ Requir irem emen ents ts (two (two cop copies ies per per docu docume ment nts) s) 1. 2.
Duly Duly accompl accomplish ished ed and notariz notarized ed APPLICA APPLICATIO TION N FORM FORM Any of of the followi following ng requir requireme ements nts relat relative ive to RIGHT RIGHT OVER LAND; LAND; a. Photocopy Photocopy of of certifica certificate te of title in case case registe registered red in the the name of applicant applicant b. In absence absence of any existing existing certificate certificate of title title in the applicant, applicant, submit submit b.1. Certified true copy copy of the latest tax declaration and and b.2. Pro-forma affidavit (see attached form) to the effect effect that he appl applica icant nt is is the the owner owner of of the the prope property rty subjec subjectt of the applica application tion that the the property property is situate situated d within alienable alienable and disposable disposable lands lands and outside outside lands lands reserve for the the public domain; that that the prope property rty is free free from from liens liens and and encumbr encumbranc ances es of the the propert property, y, or or stating stating the the liens liens and and encumbrances of the property that that the prope property rty is/is is/is not not tenante tenanted d ( in case case the prop property erty is plan planted ted to to rice and and corn corn ) c. In case the the property property is not registered registered in the the name of the applican applicant, t, submit duly duly Notarized Notarized deed of sale sale or deed of of donation, or contract of lease or authorization to use land, whichever is applicable plus the photocopy of the owner’s certificate of title in the absence of title, the tax declaration and pro-forma affidavit as described in the title b. hereof.
3.
VICINITY MAP MAP showing showing the existing existing land uses uses within the the prescribed prescribed 100 m radius radius from the lot lot boundary boundary of the project site: a. For projects projects of local local signific significance, ance, the the vicinity vicinity should should cover cover a minimum of 100 meters meters radius radius and and the map map need not be drawn to scale provided the relative distances of existing land uses to the project site lot boundaries are indicated; b. For projects projects of of national national significan significance, ce, the vicinity should should cover a minimum of one kilometerkilometer- radius and should should be drawn to scale. Note: Please refer to list of projects of national significance at the back hereof
II.
4.
SITE DEVELOPMEN DEVELOPMENT T PLAN showing showing the the project site site lot area area boundaries boundaries and dimensions dimensions of proposed proposed improvements within the project site; the plan need not be drawn to scale for projects of local significance.
5. 6.
FILING FILING AND AND LEGAL LEGAL RESEA RESEARCH RCH FEES FEES – Please Please refer refer to Ordin Ordinanc ancee Schedul Schedulee of Fees Fees CPDC/City CPDC/City Mayor’s Certification Certification as to site of zoning zoning classificatio classification. n.
Additional Requirements (two copies per document) 1.
2.
3.
4. 5.
For all projects projects to to be situated situated in tenant tenanted ed rice and corn lands; - Endorsement/Recommendation from from the Department Department of Agrarian Reform for the Conversion into other uses; For Manufacturing Manufacturing project: DESCRIPTION OF INDUSTRY citing among others the Following: 2.1 Types and volume of raw raw materials materials 2.2 Products Products manufactured manufactured or stored stored 2.3 Average Average production production output/capaci output/capacity ty per day/week/month day/week/month 2.4 Industrial Industrial wastes wastes and plans plans for pollution pollution control control 2.5 Description Description and and flow of manufacturing manufacturing process process For Appli Applican cants ts filed filed by Authori Authorized zed repre represen sentat tative ives; s; SWORN SPECIAL POWER OF ATTORNEY for representative to file/follow-up application and claim decision to the application. Environ Environmen mental tal Compli Complianc ancee Certific Certificate ate National National Pollution Pollution Control Control Commission Commission (NPCC) Clearance Clearance for large scale. scale. (Poultry, Piggery, Saw Mill and other other related industry)
CITY PLANNING AND DEVELOPMENT OFFICE 2nd Floor City Hall, City of Koronadal Tel. No. (083) 228-4609
Application No. ________________ PMO/OR No. ________________ Date Issued/Amt. Paid ________________ APPLICATION FOR LOCATIONAL CLEARANCE/CERTIFICATE OF ZONING COMPLIANCE 1. NAME OF APPLICANT (Last, First, Middle)
2.
NAME OF CORPORATION
3. ADDRESS OF APPLICANT
4.
ADDRESS OF CORPORATION
5. NAME OF AUTHORIZED REPRESENTATIVE
6.
ADDRESS OF REPRESENTATIVE
7. PROJECT TYPE
8.
PROJECT NATURE ( ) New Development (
9. PROJECT LOCATION
10.
PROJECT AREA (in square meters) Lot: Building/Improvements:
(Number,St.,Barangay,City/Mun.) 11. RIGHT OVER LAND ( ) Owner ( 13.
) Others
12.
) Lessee
(
) Others
EXISTING L AND U SE PROJECT SITE ( ) Residential ( ) Commercial ( ) Institutional ( ) Industrial
(
)
PROJECT COST P __________________
Agricultural (specify crop)
14. IS THE PROJECT APPLIEED FOR THE SUBJECT WRITTEN NOTICE FROM THIS COMMISSION AND/OR ITS DEPUTIZED ZONING ADMINISTRATOR TO THE EFFECT REQUIRING FOR PRESENTATION OF LOCATIONAL CLEARANCE/ CERTIFICATE OF ZONING COMPLIANCE (LC/CZC) OR TO APPLY FOR LC/CZC? ( ) No ( ) Yes If Yes Please answer the following: 14.a. Name of HLRB Officer or DZA who issued the notice(s) 14.b. Date of Notice __________________ 14.c. Orders indicated in the notice(s)_____________ 15. IS THE PROJECT APPLIED FOR THE SUBJECT OF SIMILAR APPLICATION (S) WITH OTHER OFFICE OF THE COMMISSION AND/OR DEPUTIZED ZONING ADMINISTRATOR? ( ) Yes ( ) No 15.a. Other HLRB Office(s) where similar applications is filed : _______________________ 15.b. Date Filed: ____________________ 15.c. Action taken by office(s) mentioned is Sec.14 16. PREFERRED MODE OF RELEASED OF DECISION: ( ) By mail, addressed to: ( ) applicant
17. SIGNATURE OF APPLICANT
(
( ) Pick-up ) authorized representative
18. SIGNATURE OF AUTHORIZED REPRESENTATIVE
Republic of the Philippines) s.s. SUBSCRIBED AND SWORN TO before me this_________day of____________200____ in the City of Koronadal Province of South Cotabato. Affiant exhibited to me his/her residence Certificate No. ______________________. Doc. No._______________ Page No._______________ Book No._______________ Series of _______________ Notary Public
