Republic of the Philippines

Province of Bohol
Municipality of Loay
BARANGAY ______________________

OFFICE OF THE PUNONG BARANGAY

DENIAL OF BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN:

This is to certify that the business or trade activity described below:

(Business Name or Trade Activity)

(Location)

(Operator/Manager)

(Address)

Being applied for RENEWAL of the corresponding Mayor’s Permit has been found
to be:

 Among those being banned to be established in this barangay under

Barangay Ordinance No. _____
 Not in conformity with the provisions of existing Barangay Ordinances, rules
and regulations being enforced in this barangay;
 Being opposed by the people of this barangay as expressed under
Barangay Resolution No. _______ dated ________

In view of the foregoing, this barangay, through the undersigned –

 Is strongly interposing objection for the issuance of the corresponding

Mayor’s Permit being applied for. (Attached are copies of the afore-
mentioned Ordinance/Resolution)

Done this _____ day of ____________________.

RICARDO M. DALISAY
Punong Barangay