Xxxxxxxxxxxx vyhotovovat xxxxxxxxxx xx formátu *xxx (xxxxxxxx xxxxxxx) xxx xxxxxxxxx xxxxxxxx xxxx xxxxxxx.
Xxxxxx/Xxxxxxx xxxx *)......................................................................................................
Xxxxx ......................................................................................................
Xx. ....................................................................
V .................................. xxx ..................................
Xxxxxx xxx (Xxxxxx xxxx) *)
xxxxxxxxxxx ........................................................................................................................................
Xxxxxx xxx (Xxxxxx xxxx) *)
odpůrce ........................................................................................................................................
Příkaz
Obecní/Městský xxxx *) .................................. odbor ..................................
xxxx orgán xxxxx § ........ xxxx. ...... xxxx. ...... xxxxxx x. / Xx.
xxxxx x místně xxxxxxxxx (§10 x §11 xxxxxxxxx xxxx)
xx xxxx ........................................................................................................................................
xxxxxxx xx xxxxx xxxxx §150 xxxxxxxxx řádu, xx xxxxxxx xxxxxx xxxxxxxxxxxx (xxxxxxxxxxxxx) *)
xxxx (xxxx) *)&xxxx;........................................................................................................................................
xx dne ..................................
x xxxxxxxxx odpůrci (xxxxxxxxx) *)
xxxx (xxxx) *)........................................................................................................................................
splnit xxxxxxxxx ........................................................................................................................................
ihned na xxxxx.
Xxxxxxx:
Xxxxxxxxxx xxxxxxx xxx xxxxxxxx vlastnoručně xxxxxxxxxx xxxxxxxxxxx účastníka, xx x uložením xxxxxxxxxx xxxxxxxx. Xxxxxxxxxx prohlášení xx xxxxxx xxxxx xxxxxxxxxxx x xxxxxxxxxxxx xxxxxxxxxxx.
Xxxxxxxxxx odpůrce:
S xxxxxxxx xxxxxxxxxx xxxxxxxxx
....................................................................
xxxxxx odpůrce
úřední xxxxxxx - otisk
....................................................................
jméno, xxxxxxxx x xxxxxx xxxxxxxxx xxxxxx xxxxx