APPLICATIONREQUIREMENTSFORLOCATIONALCLEARANCE I. BASICREQUIREMENTS(onecopyperdocument) 1. DulyaccomplishedandnotarizedApplicationForm 2. Anyofthefollowingrequirementsrelativetorightoverland: a.photocopyofthecertificateoftitle,incaseregisteredinthenameoftheapplicant; b.Intheabsenceofanyexistingcertificateoftitleinthenameoftheapplicantsubmit: b.1)Certifiedtruecopyofthelatesttaxdeclaration b.2)Proformaaffidavit(seeattachedform)totheeffectthat: theapplicantistheownerofthepropertysubjectoftheapplication thereasonswhythepropertyisnottitled; thatthepropertyissituatedwithinalienableanddisposablelands andoutsidelandsreservedforthepublicdomain; thatthepropertyisfreefromliensandencumbrancesoftheproperty; thatthepropertyistenanted c.

ted c.Incasesthepropertyisnotregisteredinthenameoftheapplicant,submitaphotocopyof theowner'scertificateofthetitleorintheabsenceoftitle,thetaxdeclarationandpro formaaffidavitasdescribedinitemb.andanyofthefollowing: dulynotarizeddeedofsaleordeedofdonation contractoflease authorizedtouseland,whicheverisapplicable 3. VACINITYMAPshowingtheexistinglanduseswithintheminimumof100metersand1 kilometerradiusfromthelotboundaryoftheprojectsiteforprojectsoflocalandnational significancerespectively. SITEDEVELOPMENTPLANshowingtheprojectsitelotareaboundariesand proposedlayoutofimprovementstherein. EnvironmentalcomplianceCertificate/CertificateofNonCoverage(ECC/CNC)

4. 5.

II. ADDITIONALDOCUMENTS(onecopyperdocument) 1. ForLGUsthathaveassumedHLURBdevolvedfunctions: ZoningCertificationissuedbytheHLURBregionalofficerindicatingthattheprojectsiteiswithin theareazonedasnonagriculturalperapproved/ratifiedCLUPsandZOs. 2. For Manufacturing projects: DESCRIPTION OF INDUSTRY citing among others the following: 1.1 Typesandvolumeofrawmaterials/chemicalsused; 1.2 Productsmanufacturedorstored; 1.3 Averageproductionoutput/capacityperday/week/month; 1.4 Industrialwastesandplansforpollutioncontrol; 1.5 Descriptionofprocessflowormanufacturingprocesses; 1.6 Manpowerrequirements BillofMaterialsandCostofEquipment(whereapplicable) Forapplicationsfiledbyauthorizedrepresentative: SwornSpecialPowerofAttorneyfortherepresentativetofile/followupapplication,andto claimdecisionontheapplication.

3. 4.

5.

Otheradditionaldocumentsasmaybeneededforprojectsofnationalsignificancewhich requireamoreexhausiveevaluation. 5.1 ForIndustrial/CommercialProjects BarangayClearance(GivingConsect/NoObjection) AffidavitofNoObjection 5.2 Forricemills,adocumentshowingthatthericemilldoesnotexceedonetopper hourinputcapacity Longfilefolderwithfastener.

6.

I, __________________________________ of legal age, single/married, Filipino citizen, with postaladdressandresidenceat___________________________________________afterbeingswornto inaccordancewithlaw,herebydeposeandstateTHAT: 1.Iamtheownerofcertainparcel(s)ofthelandlocatedat_______________withanareaof _______________________squarematers,coveredbytheTaxdeclarationno.(s)__________: 2.Theabovementionedproperty(ies)is/arethesubjectofapplicationforLocationalClearancefor ___________________________________________. 3.The above mentioned property (ies) was/were acquired by the way of ________________________________;buthas/havenotbeenissuedcertificate(s)oftitle
(Statewhetherbysaleorinheritance,etc.)

consideringthefollowing reasons______________________________________. 4. To the best of my knowledge, the said property (ies) is/are situated within alienable and disposablelandsandoutsidelandsofthepublicdomainanthesameis/arenowutilized for agriculturalpurposes,particularlyforthecultivationof ___________________________and
(IndicateCrops)

is/are;()tenanted()nottenanted 5.Further.Tothebestofmyknowledge,theabovementionedproperty(ies)is/arefreefrom any lienorencumbrancesotherthan ________________________________________________. 6. I am executing this affidavit to attest to the veracity of the abovementioned facts and in compliance with the requirements of the Housing and Land Use Regulatory Board or Sangguniang Bayan/Panlungsod relative to the application for Locational Clearance for the abovementionedproject. Affiantfurthersaysnaught. Inwitnesswhereof,Ihavesetmyhandthis_______dayof_____________,20__________ ________________________,Philippines at

Affiant SUBSCRIBED AND SWORN TO me this _______ day of ___________, 20 _____ affiant exhibitingtomehis/herCommunityTaxCertificateNo.________________________ issued at ___________________________on ____________________________.

Doc.No.___________ PageNO.___________ Bookno.___________ Seriesof____________

NotaryPublic