Republic of the Philippines

Department of Environment and Natural Resources

COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
PENR Bldg., Airport Road, Masbate City

INVESTIGATION AND OCULAR INSPECTION REPORT

_______________
Date

This is to certify that on _______________, I was on and examined the residential land applied for by
Baby Jean A. Barruga under Residential Free Patent Application No. _________________situated at
Brgy.Cabangyaran, Pio V. Corpuz Masbate.
Findings;

1. The applicant is a Filipino Citizen/Dual Citizen Filipino

2. The land applied for is within an Alienable and Disposable area as per LC Map________ Project No.
______ Certified on ________________________.

3. The land applied for is not needed for public use or purpose.

4. The land applied for is within a residential zone as approved by Zoning Ordinance No. Barangay
Certification is attached for this matter by the Sangguniang Bayan of Barangay Certification is attached
for this matter.

5. The applicant or his/her predecessor in interest has actually resided on and continuously possessed and
occupied, under a bona fide claim of acquisition of ownership, the subject land for at least ten (10) years
prior to the filing of the application, by himself or through his predecessor-in-interest.

6. The applicant or his/her predecessor-in-interest entered upon the residential land applied for on or about
___________________.

7. The applicant is not the owner of more than twelve (12) hectares of land.

8. The sketch of the land applied for is produced at the back hereof showing the boundaries.

9. The applicant possesses all the qualifications and none of the disqualifications provided for under the
provisions of R.A. 10023.

10. REMARKS: That the said land is not marked as mortgage in any banking institution nor posted as bail
bond in any criminal and or civil case in court. The applicant has complied with all requirements of the
law with regards to Residential Free Patent Application and that it is the Barangay Chairman who certified
that said lot is not in any way be affected by any government improvement for public use and said
certification is attached herewith.

In view of the following findings, it has been satisfactorily proven by the applicant that he/she is qualified for
the grant of residential free patent under R.A. 10023. It is my recommendation that the applicant be granted a
residential free patent.

Very truly yours,

 Republic of the Philippines
Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Mobo, Masbate

Cad/Pls ___ Case ____Lot No. _____
Location: __________________________
CM ______ N_______E _______Sheet___
Cad/Pls Survey Claimant: ____________
Date of Survey: _____________________
Date of Approval: ___________________
Chief of Survey Party ________________
Covered by Old Survey_______________
Old Survey Claimant _________________
P.L. Application No. ______________
P.L. Applicant: __________________
Original/Isolated Survey: ___________
Identical/Equivalent Cad/Pls ________
Subdivision Survey _______________
Assigned Cad/Pls Lot No. __________
Geodetic Engineer ________________
Date of Survey___________________
Date Approved __________________

LOT DATA
Tie Line: ______________________________________________ Area: _________sq. m.
Bearing: GRID
LINE BEARING DISTANCE LINE BEARING DISTANCE

Description of each corner ____________________________________________________________

________________________________________________________________________.

SKETCH
Copied from the approved cadastral map or plan with the adjoining surveys, lot nature, features, road, legal
easement as indicated:

Requested by ______________date________ Researched by _________date_____

Purpose ______________________________ Verified by ________ date ________
Researched preparation __________________ Checked by _________date _______
C.S __________________________________ Date __________________________

CERTIFIED BY:

_______________________
Engineer I