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    Application For Clearance To Develop: Applicant Profile

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    Remer Jalbuna
    This document is an application for clearance to develop a private port. It includes information about the applicant such as name, address, contact details. It also includes details about the proposed private port such as location, structure, area size, intended use, estimated cost, and environmental compliance certificates. It lists the basic documentary requirements for the application including a unified application form, vicinity map, notarized undertaking, and filing fee details.

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    Download as PDF, TXT or read online from Scribd

    Application For Clearance To Develop: Applicant Profile

    Uploaded by

    Remer Jalbuna
    20 views1 page
    This document is an application for clearance to develop a private port. It includes information about the applicant such as name, address, contact details. It also includes details about the proposed private port such as location, structure, area size, intended use, estimated cost, and environmental compliance certificates. It lists the basic documentary requirements for the application including a unified application form, vicinity map, notarized undertaking, and filing fee details.

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    Original Title

    application

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    This document is an application for clearance to develop a private port. It includes information about the applicant such as name, address, contact details. It also includes details about the proposed private port such as location, structure, area size, intended use, estimated cost, and environmental compliance certificates. It lists the basic documentary requirements for the application including a unified application form, vicinity map, notarized undertaking, and filing fee details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views1 page

    Application For Clearance To Develop: Applicant Profile

    Uploaded by

    Remer Jalbuna
    This document is an application for clearance to develop a private port. It includes information about the applicant such as name, address, contact details. It also includes details about the proposed private port such as location, structure, area size, intended use, estimated cost, and environmental compliance certificates. It lists the basic documentary requirements for the application including a unified application form, vicinity map, notarized undertaking, and filing fee details.

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    © All Rights Reserved
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    of 1

    Tracking No.

    ____________

    APPLICATION FOR CLEARANCE TO DEVELOP


    APPLICANT PROFILE
    Name of Applicant/Company:

    Name of Authorized Representative:

    Address 1 (Office Address) Telephone Number 1:

    Address 2 (Billing Address): Telephone Number 1:

    E-Mail Address: Fax Number

    Tax Identification Number (TIN) SEC Registration Number BDT No.

    Business Type:
    Single Proprietorship Partnership Corporation
    Nature of Business:

    PRIVATE PORT PROFILE


    Port Facility/Structure to be Put-Up: Wharf Pier Others

    Estimated Cost of Improvements to be Put-Up:


    Intended use/purpose:
    Location/Site of Private Port:
    Barangay _____________________ Municipality/City of _________________________
    Foreshore Lease Contract No. Area size (in sq.m.) TCT No. (Back-Up Area)

    Environmental Compliance Certificate (ECC) No.


    Duration/Term of Permit: No. Of Mos. ____ No. Of Yrs. ______

    DOCUMENTARY CHECKLIST VALIDATION FOR PPA USE ONLY


    (Put () if submitted, (x) is not available)

    Basic Requirements:
    Filing Fee
    Unified Application Form specifying the exact location of the
    foreshore area, area size in sq.m., intended use/purpose, Date of Filing:
    proposed structure to be put-up and estimated cost of O.R. No.
    improvements with Summary of Project Scope, Description
    and Vicinity Map as attachments
    Received by:
    Duly Notarized Omnibus Undertaking (Sworn Affidavit)

    Printed Name and Signature

    Remarks:

    Status as of _______________________

    Approved Denied Pending

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