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Unformatted text preview: safety and the electrical, mechanical and
sanitary facilities are in order for the reason that the building has been occupied continuously since its completion.
This sworn statement is executed for the purpose of securing Certificate of Occupancy for the Building described above. ____________________________________
Republic of the Philippines
) SS ) Subscribed and sworn to before me this _____________ day of ____________ 19
applicant/owner/representative exhibiting to me his residence Certificate No. A
___________ issued on
_____________________ at __________________. ___________________________________
Series of ________________
________________ MPW FORM NO. 77-008-B
Republic of the Philippines
Ministry of Public Works
OFFICE OF THE BUILDING OFFICIAL
(For Building Lots Affected by Road Widening and Other Proposed Development Projects)
KNOW ALL MEN BY THESE PRESENTS:
That I _______________________________________________________, Filipino citizen of legal
age, married to __________________________________________________/single, residing and with
postal address at _________________________________________________________________, City/
Municipaality of ___________________________________________________, Philippines, owner of
the proposed building of ______________________________________________________, and
materials to be used as _________________________________________________________, to be
constructed (reconstructed in original Lot No. __________________________,Block No.
_________________________________ covered by
Transfer Certificate of Title No.) _______________________, located at ________________________
__________________________________________ and of the lot on which said building is to be
That the said building, if constructed, is affected by the proposed ________________________
_______________________________ or the widening of _______________________________ Street; That I hereby undertake to demolish at my own expense the said building or any portion thereof that
may be affected when the government actually needs tha land on which it is constructed within a just and
reasonable time in connection with the ____________________________________________ or for the
wideming of _________________________________________________ Street. Provided, that any or
all expenses I may incur in the demolition of said building, shall be chargeable to my own account and
shall not be reimbursed by the City/Municipal Government;
That in case the demolition of the said building or any part thereof, will be undertaken by the
City/Municipal government, the cost of said demolition will constitute a lien of the immovable property
on which the said building is e...
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This note was uploaded on 09/22/2013 for the course ARIDBE AR taught by Professor Any during the Fall '12 term at Mapúa Institute of Technology.
- Fall '12