Date

Addresee

Dear DE ________

I am writing to request for a hi-way clearance in relation to my Building Permit

Application pending before the Office of the Building Official in the City of ______

The applied residential structure is located along the hi-way of ____________. I attached
here the following requirements for your reference:

1. Photocopy of Tax Declaration of Land

2. Photocopy of Sketch Plan with Technical Description
3. Copy of Perspective Plan
4. Consent & Authority

In addition to the requirements, my tax identification no. is____________. You may also
contact me at______________. Thank you very much and I look forward to your approval.

Respectfully Yours,

Applicant