Affidavit For Building Permit - Joint

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REPUBLIC OF THE PHILIPPINES )

Province of Negros Oriental )


City of Dumaguete )

JOINT AFFIDAVIT OF CONSENT

WE, TERESITA PINERO AND ROLAND T. CULANAG, both of legal


age, Filipinos, married and residents of Piapi, Dumaguete City,
Philippines, having been duly sworn in accordance with law, hereby
depose and state that:

1. We are the owners-heirs of a portion of the parcel of land located at


Piapi, Dumaguete City, with Lot No. 255-B-2-A-2, covered by
Transfer Certificate of Title No. 21360.

2. We have acquired the said property by virtue of succession;

3. We hereby signify my written consent, freely, willingly and


voluntarily to allow LORNA CADALSO CULANAG to build his
residential house on a portion of the said parcel of land and,
consequently, have an electric connection on his house;

4. We will take all responsibilities and obligations arising from the


grant of this consent to LORNA CADALSO CULANAG. Hence,
any conflict arising between the owner(s) and/or heir(s) of the
property, the City Government of Dumaguete and NORECO
cannot be prejudiced thereof.

5. I am executing this affidavit to attest the truth of the foregoing facts


as to our undertaking to give consent to LORNA CADALSO
CULANAG to support her application for Building Permit and
Electrification Permit.

IN WITNESS WHEREOF, we have hereunto set our hands this


___ day of February, 2017 in Dumaguete City, Philippines.
TERESITA PINERO ROLAND T. CULANAG
Affiant Affiant

ID No. _______________ ID No. _______________


Expiring on: ___________ Expiring on: ___________

SUBCRIBED AND SWORN TO before me


this ___________________ in _________________, Philippines, affiant
exhibiting to me his valid proofs of identification.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2017.

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