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. Name of Property Owner/Pres./Gen. Manager:__________________________________________________
Address: _____________________________________________________________________________________________
II. Name of Billboard Operator/Firm/Corp./Co.: ___________________________________________________
Office Address: _____________________________________________________________________________________
III. Title of Project/Activity: ___________________________________________________________________________
IV. Location of Project/Establishment: _______________________________________________________________
V. Nature of Application:
New Construction
Renewal
VI. 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
(Maximum of 36 meters)

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

C. Distance from nearest sign: _______________________ m

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