Checklist of Requirements for Zoning Certification 1. 2. 3. 4. 5. 6. 7. 8. List of Requirements Duly accomplished and notarized application form Lot Plan with Vicinity signed/sealed by Licensed Geodetic Engineer Satellite image/Google screenshot of applied property with coordinates or control points OCT/TCT (or any proof of ownership or right over property) Latest approved zoning map of city/municipality with Certification from licensed Geodetic Engineer Notarized Authorization letter/Special Power of Attorney from the land owner or Secretary’s Certificate from the company Valid PRC ID and updated PTR No. of Geodetic Engineer Processing Fee (P720/hectare of applied area) Submitted (Y/N) Findings: 1 Remarks Certification No.: _________ ZONING CERTIFICATION I. BASIC INFORMATION A. No. of Parcel (s) : B. Location of Property : C. Total Land Area (Hectares) : D. Proposed Use : E. Description of Land Holdings : REGISTERED OWNER LOT NO. TCT NO. AREA AREA PER APPLIED ZONING TITLE FOR CLASSIFICATION (has.) As seen in the google map/based from site inspection, the abovementioned property (ies) is/are: ________________________ The present uses abutting the subject property are as follows: North - ______________________ West - ___________________________ South - ______________________ East - ___________________________ II. STATUS OF COMPREHENSIVE LAND USE PLAN (CLUP) ZONING ORDINANCE (ZO) [X] WITH APPROVED CLUP/ZO THIS IS TO CERTIFY that the above described landholdings are zoned for the uses specified in the above table per approved Comprehensive Land Use Plan/Zoning Ordinance of the Municipality of _________, Province of _________ on file with this Office, which was adopted by Sangguniang Panlungsod/Bayan Resolution No. _________dated _________ and ratified by the Sangguniang Panlalawigan (SP) Resolution No. _________ dated _________, in accordance with pertinent issuances. This Certification consisting of two (2) pages is issued upon the request of _________ in relation to their application for _________. Given this _________ April 2023 at _________. 2 Recommending Approval: EnP. JUAN A. DELA CRUZ Zoning Evaluator Approved by: EnP. PEDRO B. SAN JUAN Zoning Administrator NOTE(S): 1. This certification is issued relative to the requirement of DAR regarding the implementation of the Comprehensive Agrarian Reform Law and shall not be construed as a Certificate of Eligibility for Conversion; 2. This certification shall not be construed as a Locational Clearance/Certificate of Zoning Conformance/Development Permit or License to Sell; 3. This shall not be construed as a certification as to the ownership by the applicant of the above listed parcel(s) of land; 4. Any misrepresentation or material falsehood on the part of the applicant shall be sufficient cause for cancellation of this certification; and 5. This certification is issued based on the submitted Zoning Map and Location Plan with Vicinity Map duly certified as accurately reflecting the exact location of subject parcel(s) of land by _________ Geodetic Engineer with PTR No. _________ dated _________and Reg. Cert. No. _________ dated _________, among others. ZC App. No. OR No. Date Amount : _________ : _________ : _________ : _________ Lot Nos. TCT Nos. Area Location Certification No. _________ 3 : see table : see table : _________ : _________