5449

ID5449
Data2018-06-18
Symbol2018/06/18/5449
InstytucjaURZĄD MIASTA MIKOŁÓW
NazwaWniosek o wydanie zaświadczenia o nadanym numerze
Czy Aktualny1

Ustawy (1)

  • URI://Dziennik_Ustaw/2017/570/16b/1
    		• Ustawa z dnia 17 lutego 2005 r. o informatyzacji działalności podmiotów realizujących zadania publiczne

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    <?xml version="1.0" encoding="UTF-8"?><xsl:stylesheet xmlns:xsl="http://www.w3.org/1999/XSL/Transform" xmlns:adr="http://crd.gov.pl/xml/schematy/adres/2009/11/09/" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:inst="http://crd.gov.pl/xml/schematy/instytucja/2009/11/16/" xmlns:meta="http://crd.gov.pl/xml/schematy/meta/2009/11/16/" xmlns:oso="http://crd.gov.pl/xml/schematy/osoba/2009/11/16/" xmlns:str="http://crd.gov.pl/xml/schematy/struktura/2009/11/16/" xmlns:wnio="http://crd.gov.pl/wzor/2018/06/18/5449/" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" version="1.0"><xsl:template match="/"><xsl:for-each select="wnio:Dokument"><html xmlns="http://www.w3.org/1999/xhtml"><head/><body><p align="center" class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 21.6pt; text-indent: -21.6pt; line-height: normal; page-break-after: avoid; text-align: right;"><strong><em><span style="mso-tab-count: 14;">Urząd Miasta Mikołów<br/>Biuro Zagospodarowania Przestrzennego<br/>Rynek 16<br/>43-190 Mikołów</span></em></strong></p><p align="center" class="MsoNormal" style="margin-top: 0cm; margin-right: 0cm; margin-bottom: .0001pt; margin-left: 21.6pt; text-align: center; text-indent: -21.6pt; line-height: normal; page-break-after: avoid; mso-outline-level: 1; mso-list: l0 level1 lfo1; mso-hyphenate: none; tab-stops: list 0cm;"><strong><em><span style="mso-tab-count: 14;"> </span></em></strong></p><p align="center" class="MsoNormal" style="margin-top: 0cm; margin-right: 0cm; margin-bottom: .0001pt; margin-left: 21.6pt; text-align: center; text-indent: -21.6pt; line-height: normal; page-break-after: avoid; mso-outline-level: 1; mso-list: l0 level1 lfo1; mso-hyphenate: none; tab-stops: list 0cm;"><strong><em><span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">WNIOSEK O WYDANIE ZAŚWIADCZENIA O NADANYM NUMERZE</span></em></strong></p><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 8.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><br/></span></em></p><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 8.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"> </span></em></p><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 8.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"> </span></em></p><table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; width: 100%;"><tbody><tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes; page-break-inside: avoid;"><td colspan="10" style="width: 790.1pt; border: double black 9.0pt; border-bottom: solid black 1.0pt; mso-border-alt: double black 9.0pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="690"><p align="center" class="MsoNormal" style="margin-top: 0cm; margin-right: 0cm; margin-bottom: .0001pt; margin-left: 28.8pt; text-align: center; text-indent: -28.8pt; line-height: normal; page-break-after: avoid; mso-outline-level: 2; mso-list: l0 level2 lfo1; mso-hyphenate: none; tab-stops: list 0cm; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Wnioskodawca</span></em></p></td></tr><tr style="mso-yfti-irow: 1; page-break-inside: avoid;"><td colspan="2" style="width: 176.75pt; border-top: none; border-left: double black 9.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: double black 9.0pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="162"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Nazwisko</span></em></p></td><td colspan="3" style="width: 176.8pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="158"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Imię</span></em></p></td><td colspan="3" style="width: 176.75pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="176"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Adres zamieszkania</span></em></p></td><td colspan="2" style="width: 259.8pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: double black 9.0pt; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; mso-border-right-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="194"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Dane kontaktowe</span></em></p></td></tr><tr style="mso-yfti-irow: 2; page-break-inside: avoid;"><td colspan="2" style="width: 160.1pt; border-top: none; border-left: double black 9.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: double black 9.0pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="162"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:nazwisko"/></span></xsl:if></span></span></em></p></td><td colspan="3" style="width: 176.8pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="158"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:imie"/></span></xsl:if></span></span></em></p></td><td colspan="3" style="width: 176.75pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="176"><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"> </span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Miejscowość <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:miejscowosc1"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Ulica <span style="mso-spacerun: yes;"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:ulica1"/></span></xsl:if></span></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Kod pocztowy: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:kod1"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Nr domu <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:dom1"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Nr lokalu <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:lokal1"/></span></xsl:if></span><br/></span></em></p></td><td colspan="2" style="width: 259.8pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: double black 9.0pt; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; mso-border-right-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="194"><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span lang="DE" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-ansi-language: DE; mso-fareast-language: ZH-CN;"> </span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span lang="DE" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-ansi-language: DE; mso-fareast-language: ZH-CN;">Telefon: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:telefon1"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span lang="DE" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-ansi-language: DE; mso-fareast-language: ZH-CN;"> </span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span lang="DE" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-ansi-language: DE; mso-fareast-language: ZH-CN;">e-mail <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:email1"/></span></xsl:if></span><br/></span></em></p></td></tr><tr style="mso-yfti-irow: 3; page-break-inside: avoid;"><td colspan="3" style="width: 213.5pt; border-top: none; border-left: double black 9.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: double black 9.0pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="194"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Nazwa osoby prawnej lub jednostki organizacyjnej</span></em></p></td><td colspan="4" style="width: 235.7pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="242"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Adres siedziby</span></em></p></td><td colspan="3" style="width: 318.7pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: double black 9.0pt; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; mso-border-right-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="254"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Dane kontaktowe</span></em></p></td></tr><tr style="mso-yfti-irow: 4; page-break-inside: avoid;"><td colspan="3" style="width: 213.5pt; border-top: none; border-left: double black 9.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: double black 9.0pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="194"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:nazwa1"/></span></xsl:if></span></span></em></p></td><td colspan="4" style="width: 235.7pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="242"><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Miejscowość <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:miejscowosc2"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Ulica <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:ulica2"/></span></xsl:if></span></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Kod pocztowy: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:kod2"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Nr domu <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:dom2"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Nr lokalu <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:lokal2"/></span></xsl:if></span><br/></span></em></p></td><td colspan="3" style="width: 318.7pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: double black 9.0pt; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; mso-border-right-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="254"><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"> </span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"> </span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span lang="DE" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-ansi-language: DE; mso-fareast-language: ZH-CN;">Telefon:. <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:telefon2"/></span></xsl:if></span><br/></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span lang="DE" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-ansi-language: DE; mso-fareast-language: ZH-CN;"> </span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span lang="DE" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-ansi-language: DE; mso-fareast-language: ZH-CN;">e-mail <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:email2"/></span></xsl:if></span><br/></span></em></p></td></tr><tr style="mso-yfti-irow: 5; page-break-inside: avoid;"><td colspan="10" style="width: 715.1pt; border-top: none; border-left: double black 9.0pt; border-bottom: solid black 1.0pt; border-right: double black 9.0pt; mso-border-top-alt: solid .5pt; mso-border-left-alt: double 9.0pt; mso-border-bottom-alt: solid .5pt; mso-border-right-alt: double 9.0pt; mso-border-color-alt: black; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="690"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Informacje o położeniu budynku, którego dotyczy wniosek</span></em></p></td></tr><tr style="mso-yfti-irow: 6; page-break-inside: avoid;"><td style="width: 106.75pt; border-top: none; border-left: double black 9.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: double black 9.0pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="109"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Miejscowość</span></em></p></td><td colspan="2" style="width: 117.85pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="85"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Ulica</span></em></p></td><td style="width: 91.8pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="95"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Obręb ewidencyjny</span></em></p></td><td colspan="2" style="width: 99.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="101"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Numer działki ewidencyjnej</span></em></p></td><td colspan="3" style="width: 144.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="124"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Usytuowanie budynku</span></em></p></td><td style="width: 219.6pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid black 1.0pt; border-right: double black 9.0pt; mso-border-top-alt: solid black .5pt; mso-border-alt: solid black .5pt; mso-border-right-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="176"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Status budynku</span></em></p></td></tr><tr style="mso-yfti-irow: 7; mso-yfti-lastrow: yes; page-break-inside: avoid;"><td style="width: 106.75pt; border-top: none; border-left: double black 9.0pt; border-bottom: double black 9.0pt; border-right: none; mso-border-top-alt: solid black .5pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="109"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:miejscowosc3"/></span></xsl:if></span></span></em></p></td><td colspan="2" style="width: 117.85pt; border-top: none; border-left: solid black 1.0pt; border-bottom: double black 9.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="85"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:ulica3"/></span></xsl:if></span></span></em></p></td><td style="width: 91.8pt; border-top: none; border-left: solid black 1.0pt; border-bottom: double black 9.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="95"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:obreb"/></span></xsl:if></span></span></em></p></td><td colspan="2" style="width: 99.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: double black 9.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="101"><p align="center" class="MsoNormal" style="margin-bottom: .0001pt; text-align: center; line-height: normal; mso-hyphenate: none; layout-grid-mode: char;"><em><span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:nrewidencyjny"/></span></xsl:if></span></span></em></p></td><td colspan="3" style="width: 144.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: double black 9.0pt; border-right: none; mso-border-top-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-bottom-alt: double black 9.0pt; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="124"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wniosek/wnio:usytuowanie) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>1.Budynek naziemny </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wniosek/wnio:usytuowanie) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>2.Budynek podziemny </span></label></span></xsl:if></span></td><td style="width: 219.6pt; border-top: none; border-left: solid black 1.0pt; border-bottom: double black 9.0pt; border-right: double black 9.0pt; mso-border-top-alt: solid .5pt; mso-border-left-alt: solid .5pt; mso-border-bottom-alt: double 9.0pt; mso-border-right-alt: double 9.0pt; mso-border-color-alt: black; padding: 0cm 3.5pt 0cm 3.5pt;" valign="top" width="176"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wniosek/wnio:status) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>1.Budynek istniejący </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wniosek/wnio:status) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>2.Budynek w trakcie budowy </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wniosek/wnio:status) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>3.Budynek prognozowany </span></label></span></xsl:if></span></td></tr><tr><td style="border: none;" width="109"> </td><td style="border: none;" width="53"> </td><td style="border: none;" width="32"> </td><td style="border: none;" width="95"> </td><td style="border: none;" width="30"> </td><td style="border: none;" width="71"> </td><td style="border: none;" width="46"> </td><td style="border: none;" width="60"> </td><td style="border: none;" width="19"> </td><td style="border: none;" width="176"> </td></tr></tbody></table><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"> </span></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 8.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Załącznik:</span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 8.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">1. Kserokopia aktu własności <span><label><span/></label><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:zal1/../@nazwaPliku"/></span></span></em></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"> </p><p><span style="font-size: xx-small;"><em>Opłata 17 zł</em></span></p><p class="MsoNormal" style="margin-bottom: .0001pt; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 8.0pt; mso-bidi-font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;"><br/></span></em></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 0cm; margin-bottom: .0001pt; margin-left: 212.4pt; line-height: normal; mso-hyphenate: none;"><em><span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: black; mso-fareast-language: ZH-CN;">Mikołów, dnia, <xsl:if test="true()"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wniosek/wnio:data"/></xsl:if><br/></span></em></p></body></html></xsl:for-each></xsl:template></xsl:stylesheet>