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AREA NO. BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE APLLICANT) OWNER/APPLICANT LAST NAME FIRST NAME M.I. FOR CONSTRUCTION OWNED FORM OF OWNERSHIP BY AN ENTERPRISE ADDRESS; NO., BARANGAY, TIN STREET, LOCATION OF CONSTRUCTION: CITY ZIP CODE TELEPHONE NO. LOT NO. BLK NO. TCT NO. TAX DEC. NO. STREET BARANGAY CITY OF SCOPE OF WORK NEW CONSTRUCTION RENOVATION.

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