Republic
of the Philippines )
) S.S.
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, _________________________________, of legal age,
married, Filipino,
with address at _______________________________, do hereby appoint, name and constitute ____________________, likewise of legal age, married, with residence at ____________________________, to be my true and lawful Attorney-in-Fact, for me and
in my name, place, and stead, to do and perform the following acts and things
to wit:
1. To apply, process, procure, follow-up
and receive any document/s pertaining to my application with the City
Government of ______________for Building Permit and Occupancy Permit;
2. To make, sign, and execute other
writings of whatever nature of kind, with any and all third persons, entities
or concerns, as well as accept the above-cited application, upon terms and
conditions acceptable to my said Attorney-in-fact;
HEREBY
GIVING AND GRANTING unto my said Attorney-in-fact full power and authority
whatsoever requisite or necessary or proper to be done in and about the
premises as fully to all intents and purposes as I might and could lawfully do
if personally present, with power of substitution and revocation, and hereby,
ratifying and confirming all that my said attorney shall lawfully do or cause
to be done under and by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ________________
at___________________________.
_____________________________ Principal
Conforme:
____________________
Attorney-in-fact
SIGNED IN THE PRESENCE OF:
______________________
______________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public, for and in the ______________________, this ______ day of _____________, 20______, personally appeared the above-named persons, who has satisfactorily proven to me their identity through their identifying documents written below their name and signature, that they are the same persons who executed and voluntarily signed the foregoing Special Power of Attorney, which they acknowledged before me as their free and voluntary act and deed.
WITNESS MY HAND AND NOTARIAL SEAL.
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