| ID | 7741 |
|---|---|
| Data | 2019-05-23 |
| Symbol | 2019/05/23/7741 |
| Instytucja | Starostwo Powiatowe w Giżycku |
| Nazwa | Wniosek o przeniesienie decyzji o pozwoleniu na budowę na rzecz innej osoby |
| Czy Aktualny | 1 |
| Ustawa z dnia 17 lutego 2005 o informatyzacji działalności podmiotów realizujących zadania publiczne |
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<p>
<strong>
<span style="color: #ffffff; font-family: verdana, geneva; font-size: small;"> WNIOSEK O PRZENIESIENIE POZWOLENIA NA BUDOWĘ<br/></span>
</strong>
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<strong>
<span style="font-family: verdana, geneva; font-size: small;">1. ADRESAT</span>
</strong>
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<td colspan="2" style="border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da; text-align: center;">
<p>
<span style="font-family: verdana, geneva; font-size: small;">Starostwo Powiatowe w Giżycku</span>
<br/>
<span class="LrzXr" style="font-family: verdana, geneva; font-size: small;">aleja 1 Maja 14</span>
<br/>
<span class="LrzXr" style="font-family: verdana, geneva; font-size: small;">11-500 Giżycko<br/><span class="LrzXr" style="font-family: verdana, geneva; font-size: small;">Wydział Budownictwa</span></span>
</p>
</td>
</tr>
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<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID2">
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<span style="font-family: verdana, geneva; font-size: small;">
<strong>2. DANE WNIOSKODAWCY<br/></strong>
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<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię<br/></span>
</td>
<td> <span style="font-family: verdana, geneva; font-size: x-small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID15"/></span></xsl:if></span></span></td>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko<br/></span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID16"/></span></xsl:if></span></span>
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<td colspan="2" style="background-color: #ddd9da; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">3. ADRES ZAMIESZKANIA<br/></span>
</strong>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Województwo</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9"/></span></xsl:if></span><br/></span>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
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<span style="font-family: verdana, geneva; font-size: x-small;">Powiat</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID11"/></span></xsl:if></span><br/></span>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
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<span style="font-family: verdana, geneva; font-size: x-small;">Gmina<br/></span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID12"/></span></xsl:if></span><br/></span>
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</tr>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
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<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość<br/></span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID13"/></span></xsl:if></span><br/></span>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Ulica</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID14"/></span></xsl:if></span><br/></span>
</p>
</td>
</tr>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy<br/></span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID24"/></span></xsl:if></span></span>
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<td colspan="2" style="background-color: #ddd9da; width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<span style="font-size: small;">
<strong>
<span style="font-family: verdana, geneva;">4.
KONTAKT</span>
</strong>
</span>
</td>
</tr>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
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<span style="font-family: verdana, geneva; font-size: x-small;">Numer telefonu</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID25"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
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<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
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<span style="font-family: verdana, geneva; font-size: x-small;">E-mail</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID26"/></span></xsl:if></span></span>
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<td colspan="2" style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID33">
<xsl:if test="true()">
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<td colspan="2" style="background-color: #ddd9da; width: 50%;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">5. TREŚĆ WNIOSKU</span>
</strong>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; text-align: justify;">
<span style="font-family: verdana, geneva; font-size: x-small;">Na podstawie art. 40 ust. 1 ustawy z dnia 7 lipca
1994r. - Prawo budowlane (T. jedn. z 2013r. Dz.U.
poz. 1409), wnoszę o przeniesienie pozwolenia na
budowę na rzecz: Pani/Pana
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID0"/></span></xsl:if></span> decyzji numer
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1"/></span></xsl:if></span> z dnia <xsl:if test="true()"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3"/></xsl:if> znak
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4"/></span></xsl:if></span> wydanej przez
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5"/></span></xsl:if></span> pozwolenia na budowę
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6"/></span></xsl:if></span> udzielającej Pani/Panu
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID7"/></span></xsl:if></span>.</span>
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<td colspan="2" style="background-color: #ddd9da; width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">6. ZAŁĄCZNIKI</span>
</strong>
</td>
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<td colspan="2" style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID27">
<xsl:if test="true()">
<span style="font-family: verdana, geneva; font-size: x-small;"><span><label><span/></label><xsl:value-of select="wnio:TrescDokumentu/str:Zalaczniki/str:Zalacznik/str:DaneZalacznika/../@nazwaPliku"/></span><br/>Nazwa załącznika:
<span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID57"/></span></xsl:if></span></span>
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<td colspan="2" style="background-color: #ddd9da; width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">7. PODPIS WNIOSKODAWCY</span>
</strong>
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<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID10"/></span></xsl:if></span></span>
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<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID28"/></span></xsl:if></span></span>
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<span style="font-family: verdana, geneva; font-size: x-small;">Data wypełnienia</span>
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<span style="font-family: verdana, geneva; font-size: x-small;">
<xsl:if test="true()">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID29"/>
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<xsl:choose>
<xsl:when test="string-length(//wnio:Dokument/ds:Signature/ds:SignatureValue) > 0">
<xsl:text>Dokument został podpisany, aby go zweryfikować należy użyć oprogramowania do weryfikacji podpisu </xsl:text>
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<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object">
<xsl:if test="descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="descendant::*[local-name() = 'SigningTime']"/>
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<br/>
<xsl:choose>
<xsl:when test="descendant::*[local-name() = 'PodpisZP']">
Podpis profilem zaufanym: <xsl:value-of select="descendant::*[local-name() = 'Imie']"/><xsl:text> </xsl:text><xsl:value-of select="descendant::*[local-name() = 'Nazwisko']"/><br/></xsl:when>
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<xsl:otherwise>
<xsl:text>Dokument nie zawiera podpisu</xsl:text>
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