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Department of Transportation
LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD
Caraga Administrative Region XIII
Capitol Avenue, Butuan City
PETITION
Petitioner unto this Honorable Board most respectfully avers:
MAKE:
MOTOR NUMBER:
CHASSIS NUMBER:
PLATE NUMBER:
3. That the petitioner desires to have a Special Permit to use his/her motor vehicle to
travel from _______________________ to ________________________ and
vice versa, dated MM DD YYYY until MM DD YYYY for the purpose of
__________________ .
4. That the petitioner is willing to comply wit whatever limitations that the Board
may impose upon such travel outside his/her authorized line.
WHEREFORE, it is most respectfully prayed that this Petition be favorably acted upon
and a Special Permit be granted.
________________________
Petitioner