Republic ofthe Phipoines City/Municipality of __Bur ALA ch) Province of _OMeATAL miNDONg UNIFIED APPLICATION FORM FOR BUILDING PERMIT Qs Dome renew] sresontony ‘as APPLES ALSO FOR: [] LOCATIONAL CLEARANCE Oy pre swervevauaroncuenmnce APPLICATION. AREA NO. fabolal TefolohFl 1 PRT OWNER/SOPUCANT——LASTRIME Fare a er BRINE. bo nar rave pane cay rare at Tea once BY AV ENTERPRISE "ADORESS: NO, STREET, SAUNGNY__CTTVIMMINGPALI CORTIET WO ALATA a TOCATION OF CONSTRUCTION-LOTWO. _"—_ BLKNO, _TCTNO- "CURRENT TAKDEG. NO. ssTreeT___awrwnery _POBUA CIN __ cry smuwoipaLiry oF BULL CA) —____ -900PE OF WORK Di new construction (Crmoveron __ [J wane Clerecnoy___ 5] conversion —____D aonessony sun nisTrucrure (Cl) comon —_ [} nepar, (D eeneaTion oF Bastin auLDNG —__ CO ATERATION. Dwvns. —__ omens ropecty) _Banrcth _ OMAN HOE _ TE OR CHARACTER OF OCCUPINGY Cisrour a: Rescenrat, Doroure: commenct {LOADLESS TAM 1000) four COPE Ciesoomins a2 — Cheuk C)srore Cl sorenc og Ove OB? ance ——— Poctdoe® TSS. ORAS a RESDETAL Snauswer boot ror. EMOTE. Py romecuse 1 State pessceor wow, a Orartoee BOONE, BARBERSHOP a Cokour asseamuy accumsan ProPOSEDOME OF CENSTRUCTON Tare oro ex? FUL TE RSPECTOR AD OE ‘ie Pam. GAN PASCUAL, Piste. RENESC. x Fite OTSSIES. vate JOSE. arcearect on vl Been Pre FP Cae aed =a = ‘eundet SEARS, Seas ae FO are 50K [RoR ri ATH HY CONSENT? UOT OWNER A HORZED REPRESENTA Geer oe ‘(Siyature Over Perved a a Tae a [serie POISIGOA [Dae leeed 2PH [Ib [Plane eed BATANGHS [Gort eued No, a cz REPUBLIC OF THEPHLPPNES a CITYAUNCPALTY OF ‘BEFORE ME. we Gvihniopaly en raty agpc owns: ‘Tatar iy 2 mila PES 456 _—atl2» fooe pacts ory ‘artes Ve Oded 1. SENDA 01328 __ 5-19 eran roe, ‘UCENSED AREMTECT GRENA ENGEER ‘ote, (PStinerepce en see donee) whee gnats eppeerheronabve own re beh ee pero who axed Sl standard resid fom a wtrowdged real sar i he he anc ‘tonya ed aH ct dere ere rece eeeareeeee eee ‘ATTY. ADELI IS tT code rane: TORTIE Oa Seco ex Until December 31,2021 Copy Owner Copy OBO ony oP ‘Cony APARNA Staite Autry 19507 Serareaenerensnaeett Daie issued ince tesuad: Mansalay, Or. Mindorofee eee SEES gE SEE sees [to loa age a [foererion Lecwwnammmermr (cence fee 15OX [TO BE ACCOMPLENED BY BULDING OFFIGAN) BUILDING PERMIT NO. ‘OFFICIAL RECEIPT NO. ENO OOO leah PTT) DATE ISSUED. DATE PAID Lb PT MMDODYY MMDDYY Map Permitisisuedto = _PLD1_INC._¢p HIT wert eho proposed PLOT Maw Hele, under ru dh “Y__,ofGroup ———, located at Lot No. Block No OcT/TcT No, ee raneay Wisin’. chy/Atoniclty of = “Galaga subjectto wea —— 1 Tat aerate 172 ofthe cee ha pst nga ete who ew ha adc fragt alte {nage Fran vs) ye erie cole fe sys tessa cae ues efecnbe plasrspeieto ods th {pan Te ergo ree wh eve orion he le ah cota shal te eclectic reve tr tai ‘epee companied by ae soy and seaport rl ad spe ued mse y hcp ‘rte wohl beeper ta compe rd couche ps cpt Cale ta ad a apa rd cds and ote gay ‘ha be pronto once eacen/mnoeoncameniearigtnet shan cofarey wah pron ft ton ng Co an A. Tht reo conmenerer oft pope poet shout on acura daly ame Geng “Tat tefre errnc tocrton pron macnn atone mad al wth cual mop test {eno a bow sh genannten pape ea pre. Tain peson ht iy i ky re asd pounce wek comedy Bung em. Tad sewing ycat/CM4 Eager shal heap a it a meld anny pn eter cn heft tara ere mee ron nti 0 gra ata hc Po opecon ar econ 207 ef ate Binge, ‘at an onload ned ape rac Enger shal xi sheng tl ed ands ‘bet ort le dat cert td lle parolee Coto fe eget conn tthe encurcotors tothe ove le Cole BIRR ewe te pnsand secinton. ‘iso cements oer tal ev be riot ang a ad eeu amen pam erect tune ny wrt nein en sd atts sal x sre To psa peiaos mai rey tndcangatenie angie et cnet ws ch hale ar nsec of al amen raw obey Ineo swat repeats cy el norte the bg a ‘han bance dt Rang Olek Cie Oca er a pond tea Hore pert certs cope mb tre Cate porto pres syrup othe ction tthe outingvcure Tha bpm salle seo sn tion ost witan xc gover uo eng eat seen hrc Aen the comteie derlenby cn the war al be omy Saenger amuse pron, tin convo Vn 4S, Theown Percents aaycomgabeectel"N sw thecnt othe ig ome ro neonate acy {teowen/erte hl ug Peon wh coma wh he peed dra aman with hl pad onthe cosine stort deter he cnn PERMIT ISSUED BY: Date: 7 NOTE: TMS PERMIT MAY BE CANCELLED 08 REVOKED PURSUANT TO SECTIONS 205 AND 306 OFTHE NATIONAL BUNDING CODE™