Xxxxxxxxxxxx xxxxxxxxxxx rozhodnutí xx xxxxxxx *rtf (xxxxxxxx xxxxxxx) xxx xxxxxxxxx xxxxxxxx této xxxxxxx.
Xxxxxx/Xxxxxxx xxxx *)......................................................................................................
Odbor ......................................................................................................
Xx. ....................................................................
X .................................. xxx ..................................
Vážený xxx (Xxxxxx xxxx) *)
navrhovatel ........................................................................................................................................
Xxxxxx pan (Xxxxxx xxxx) *)
xxxxxxx ........................................................................................................................................
Xxxxxx
Xxxxxx/Xxxxxxx xxxx *)&xxxx;.................................. xxxxx ..................................
xxxx orgán xxxxx § ........ xxxx. ...... písm. ...... xxxxxx č. / Xx.
xxxxx x místně xxxxxxxxx (§10 x §11 xxxxxxxxx xxxx)
xx xxxx ........................................................................................................................................
xxxxxxx na xxxxx xxxxx §150 xxxxxxxxx xxxx, na xxxxxxx xxxxxx navrhovatele (xxxxxxxxxxxxx) *)
xxxx (xxxx) *)&xxxx;........................................................................................................................................
xx xxx ..................................
a xxxxxxxxx xxxxxxx (xxxxxxxxx) *)
xxxx (paní) *)........................................................................................................................................
xxxxxx xxxxxxxxx ........................................................................................................................................
ihned xx xxxxx.
Xxxxxxx:
Xxxxxxxxxx xxxxxxx lze xxxxxxxx xxxxxxxxxxxx xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xx x xxxxxxxx povinnosti xxxxxxxx. Xxxxxxxxxx prohlášení xx xxxxxx xxxxx xxxxxxxxxxx a xxxxxxxxxxxx xxxxxxxxxxx.
Xxxxxxxxxx xxxxxxx:
X xxxxxxxx xxxxxxxxxx souhlasím
....................................................................
podpis xxxxxxx
xxxxxx xxxxxxx - otisk
....................................................................
jméno, xxxxxxxx x xxxxxx xxxxxxxxx xxxxxx osoby