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LGU Compliance Assessment and Validation Form

Implementation of DILG Memorandum Circular 2019-121


Name of LGU: ANAHAWAN, SOUTHERN LEYTE
Annex "1" - Road Seen with Obstructions
Name of Road Obstruction Type (Please check only)
Illegally Illegal Illegal Street Barangay Store Shanties or house Garbage Rice Others
Parked Vendors Terminals Dwellers structures or encroachments encroachments dumps grain
Vehicles outposts drying
stations
NATIONAL
HIGHWAY, BRGY. / (4
POBLACION, / (9 / (7 / (3 UNCLEARED)
TAGUP-ON UNCLEARED) UNCLEARED) UNCLEARED) WATER PIPES

Certified true:

Member Validation Team Member, Validation Team

Member Validation Team Member, Validation Team

Date: __________________________

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