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Application Forms

MMDA application form for billboard clearance

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: REPUBLIC OF THE PHILIPPINES
OFFICE OF THE PRESIDENT
METROPOLITAN MANILA DEVELOPMENT AUTHORITY
Office of the Chairman

BILLBOARD CLEARANCE AND ENFORCEMENT OFFICE
Control No. :______________________
Date: ______________________________

BILLBOARD CLEARANCE APPLICATION FORM
I.
II.
III.
IV.
V.
VI.

Name of Property Owner/Pres./Gen. Manager:__________________________________________________
Address: _____________________________________________________________________________________________
Name of Billboard Operator/Firm/Corp./Co.: ___________________________________________________
Office Address: _____________________________________________________________________________________
Title of Project/Activity: ___________________________________________________________________________
Location of Project/Establishment: _______________________________________________________________
Nature of Application:
New Construction
Renewal
Project Description:
A. Ground Sign/Roof Sign/Pylon/LED Sign:
1. Lot Area:
_______________________ sq. m
TCT No.:
_______________________
Blk. No.:
_______________________
Lot No.:
_______________________
2. Total Area of Billboard
:
_______________________ sq. m
(Maximum of 216 sq. m. /2,400 sq. ft. /40 ft. x 60 ft.)

3. Height of Billboard

_______________________

m

B. Wall Sign:
1. Height of Building:
2. No. of Floors (inc. Mezzanine):
3. Wall Area:
4. Wall Sign:

_______________________
_______________________
_______________________
_______________________

m
floors
sq. m
sq. m

C. Distance from nearest sign:

_______________________

m

(Maximum of 36 meters)

:

VII. Is there any pending litigation criminal, administrative case or otherwise, violation to the
subject/project: ___________. If yes, state the nature of the case. __________________________
______________________________________________________________________________________________________________

REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY S.S.
I, ___________________________________________________________ after being sworn in accordance with
the law dispose and say:
That, I am the applicant for billboard clearance.
That, I have caused the above application and the attached documents to be prepared and
have read and known the contents thereof, and that allegations therein are true and correct to the
best of my knowledge.
I will at all times comply with the National Building Code, its rules and regulations and other
relevant laws, ordinances and issuances.
___________________________________________________________________________
Signature above printed name of Owner/Pres./Gen. Manager
Subscribed and sworn before me in the City/Municipality of ________________________________
this __________ day of ___________________ 20 ____ by ____________________________________________ Res. Cert. No.
___________________ issued at ___________________________________________
___________________________________
NOTARY PUBLIC
Doc. No. _______
Page No. _______
Book No._______
Series of _______
G/F Office of the Chairman, MMDA Bldg., EDSA cor. Orense St., Guadalupe Nuevo, Makati City
Tel. Nos.: 882 – 0871; 882 – 0893; 882 – 0854; Fax No.: 882 – 0859
 
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