Xxxxxxxxxxxx xxxxxxxxxxx rozhodnutí xx xxxxxxx *xxx (xxxxxxxx xxxxxxx) xxx xxxxxxxxx xxxxxxxx této xxxxxxx.
Xxxxxx/Xxxxxxx úřad *)......................................................................................................
Odbor ......................................................................................................
Xx. ....................................................................
X .................................. xxx ..................................
Xxxxxx xxx (Xxxxxx xxxx) *)
xxxxxxxxxxx ........................................................................................................................................
Xxxxxx pan (Xxxxxx xxxx) *)
xxxxxxx ........................................................................................................................................
Xxxxxx
Xxxxxx/Xxxxxxx xxxx *)&xxxx;.................................. odbor ..................................
xxxx orgán podle § ........ odst. ...... písm. ...... xxxxxx x. / Xx.
xxxxx x xxxxxx xxxxxxxxx (§10 a §11 správního xxxx)
xx xxxx ........................................................................................................................................
xxxxxxx na xxxxx podle §150 xxxxxxxxx xxxx, na xxxxxxx xxxxxx navrhovatele (xxxxxxxxxxxxx) *)
xxxx (paní) *)&xxxx;........................................................................................................................................
xx xxx ..................................
x xxxxxxxxx odpůrci (xxxxxxxxx) *)
xxxx (xxxx) *)........................................................................................................................................
xxxxxx xxxxxxxxx ........................................................................................................................................
ihned na xxxxx.
Xxxxxxx:
Xxxxxxxxxx xxxxxxx lze xxxxxxxx vlastnoručně xxxxxxxxxx xxxxxxxxxxx účastníka, že x uložením xxxxxxxxxx xxxxxxxx. Podepsáním prohlášení xx xxxxxx xxxxx xxxxxxxxxxx a xxxxxxxxxxxx xxxxxxxxxxx.
Xxxxxxxxxx xxxxxxx:
X xxxxxxxx xxxxxxxxxx xxxxxxxxx
....................................................................
xxxxxx odpůrce
úřední xxxxxxx - otisk
....................................................................
jméno, xxxxxxxx a xxxxxx xxxxxxxxx úřední osoby