8601
| ID | 8601 |
|---|
| Data | 2019-09-25 |
|---|
| Symbol | 2019/09/25/8601 |
|---|
| Instytucja | Urząd Gminy Mrągowo |
|---|
| Nazwa | WNIOSEK O WYDANIE ZEZWOLENIA NA USUNIĘCIE DRZEW |
|---|
| Czy Aktualny | 1 |
|---|
Ustawy (1)
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<p>
<strong>
<span style="color: #ffffff; font-family: verdana, geneva; font-size: small;"> WNIOSEK O WYDANIE ZEZWOLENIA NA USUNIĘCIE DRZEW<br/>
</span>
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<strong>
<span style="font-family: verdana, geneva; font-size: small;">1. ADRESAT</span>
</strong>
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<p>
<span style="font-family: verdana, geneva; font-size: small;">Urząd Gminy Mrągowo<br/>ul. Królewiecka 60A<br/>11-700 Mrągowo</span>
</p>
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<span style="font-family: verdana, geneva; font-size: small;">
<strong>2. RODZAJ WNIOSKODAWCY</strong>
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<tr>
<td colspan="2" style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
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<span>[<b>X</b>]</span>
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<span>Osoba fizyczna </span>
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<span>Instytucja </span>
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<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1">
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<span style="font-family: verdana, geneva; font-size: small;">
<strong>3. DANE WNIOSKODAWCY</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: small;">Imię</span>
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<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
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<span style="font-family: verdana, geneva; font-size: small;">Nazwisko</span>
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<span style="font-family: verdana, geneva; font-size: small;">
<strong>4. ADRES ZAMIESZKANIA</strong>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;"> Województwo</span>
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<span style="font-family: verdana, geneva; font-size: small;"> <span>
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID7"/>
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</span>
</span>
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<span style="font-family: verdana, geneva; font-size: small;"/>
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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: small;">Powiat</span>
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<span style="font-family: verdana, geneva; font-size: small;"> <span>
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID8"/>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Gmina<br/>
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9"/>
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<p>
<span style="font-family: verdana, geneva; font-size: small;"/>
</p>
</td>
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</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%;">
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Miejscowość<br/>
</span>
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID11"/>
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<span style="font-family: verdana, geneva; font-size: small;"/>
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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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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Ulica<br/>
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID12"/>
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<p>
<span style="font-family: verdana, geneva; font-size: small;"/>
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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: small;">Numer budynku<br/>
</span>
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<p>
<span style="font-family: verdana, geneva; font-size: small;"> <span>
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<span/>
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<xsl:if test="true()">
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID31"/>
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</span>
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</td>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Numer lokalu</span>
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<span style="font-family: verdana, geneva; font-size: small;"> <span>
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<xsl:if test="true()">
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5"/>
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<span style="font-family: verdana, geneva; font-size: small;">Kod pocztowy</span>
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6"/>
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</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;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>5. KONTAKT</strong>
</span>
</td>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;"> Numer telefonu</span>
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<xsl:if test="true()">
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</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%;">
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;"> E-mail</span>
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<span style="font-family: verdana, geneva; font-size: small;"> <span>
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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> 3. DANE INSTYTUCJI / OSOBY
PRAWNEJ</strong>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Nazwa instytucji</span>
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<xsl:if test="true()">
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<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID15"/>
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<span style="font-family: verdana, geneva; font-size: small;">Skrócona nazwa</span>
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</p>
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<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">NIP</span>
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</span>
</p>
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</td>
<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: small;">REGON</span>
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</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;">4. ADRES SIEDZIBY</span>
</strong>
</td>
</tr>
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<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: small;">Województwo</span>
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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: small;">Powiat</span>
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</p>
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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>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Gmina<br/>
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<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID21"/>
</span>
</xsl:if>
</span>
</span>
</p>
<p>
<span style="font-family: verdana, geneva; font-size: small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<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: small;">Miejscowość<br/>
</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID22"/>
</span>
</xsl:if>
</span>
</span>
</p>
<p>
<span style="font-family: verdana, geneva; font-size: small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<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>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Ulica<br/>
</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID23"/>
</span>
</xsl:if>
</span>
</span>
</p>
<p>
<span style="font-family: verdana, geneva; font-size: small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<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: small;">Numer budynku<br/>
</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: 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>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<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>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Numer lokalu</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID46"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<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: small;">Kod pocztowy</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID47"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<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;">5.
KONTAKT</span>
</strong>
</span>
</td>
</tr>
<tr>
<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>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Numer telefonu</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: 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>
</table>
</td>
<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: small;">E-mail</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: 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>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<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. TREŚĆ WNIOSKU</span>
</strong>
</td>
</tr>
<tr>
<td colspan="2" 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>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; text-align: justify;">
<span style="font-family: verdana, geneva; font-size: small;">Zwracam się z uprzejmą prośbą o wydanie
zezwolenia na usunięcie drzew z działki
ewidencyjnej numer <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID30"/>
</span>
</xsl:if>
</span> położonej w miejscowości <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID32"/>
</span>
</xsl:if>
</span>.</span>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da; text-align: justify;">
<span style="font-family: verdana, geneva; font-size: small;">Teren na którym rosną drzewa jest
przeznaczony:</span>
<br/>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID33"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<em>
<span style="font-family: verdana, geneva; font-size: small;"/>
</em>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; text-align: justify;">
<span style="font-family: verdana, geneva; font-size: small;">Przyczyna usunięcia drzewa:</span>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da; text-align: justify;">
<p>
<span style="font-family: verdana, geneva; font-size: small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID36"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="font-family: verdana, geneva; font-size: small; background-color: #ddd9da;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">7. OZNACZENIE DRZEW PRZEZNACZONYCH DO
USUNIĘCIA</span>
</strong>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; text-align: justify;">
<p>
<span style="font-size: small;">
<span style="font-family: verdana, geneva;">Zamierzam łącznie wyciąć</span>
<span style="font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID35"/>
</span>
</xsl:if>
</span> drzew.</span>
</span>
</p>
<p>
<span style="font-size: small;">
<span style="font-family: verdana, geneva;">Drzewa
zostaną usunięte w terminie do dnia <xsl:if test="true()">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID37"/>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; border-bottom: 1px solid #ddd9da;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID34">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #ddd9da; width: 33%; text-align: center;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">Gatunek drzewa</span>
</strong>
</td>
<td style="background-color: #ddd9da; width: 33%; text-align: center;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">Ilość sztuk</span>
</strong>
</td>
<td style="background-color: #ddd9da; width: 33%; text-align: center;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">Obwód pnia (mierz. na wys. 130cm)</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 33%; text-align: center;">
<p>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 33%; text-align: center;">
<p>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID39"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 33%; text-align: center;">
<p>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID40"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #ddd9da; width: 50%;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">8. OŚWIADCZENIA</span>
</strong>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%;">
<span style="font-family: verdana, geneva;">
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID41)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> </span>
</label>
</span>
</xsl:if>
</span>Oświadczam, że działka o numerze
ewidencyjnym <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID42"/>
</span>
</xsl:if>
</span> stanowi moją własność.</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID43)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Oświadczam, że granice działki są mi znane.
Drzewa zostaną wycięte wyłącznie na moim gruncie
tak aby nie naruszyć własności innych osób.
</span>
</label>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID44)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Powyższe dane podaje świadomy
odpowiedzialności karnej wynikającej z art. 233
Kodeksu Karnego, który za składanie nieprawdziwych
zeznań przewiduje karę pozbawienia wolności do lat
3. </span>
</label>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID45)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Oświadczam, iż wyrażam zgodę na
przetwarzanie danych osobowych zawartych we
wniosku dla potrzeb niezbędnych do realizacji
wniosku zgodnie z ustawą z dnia 29 sierpnia 1997
r. o ochronie danych osobowych. </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<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;">9. ZAŁĄCZNIKI</span>
</strong>
</td>
</tr>
<tr>
<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="background-color: #ffffff; display: block; font-family: verdana, geneva; font-size: x-small;"> Załącznik:
<xsl:value-of select="wnio:TrescDokumentu/str:Zalaczniki/str:Zalacznik/str:DaneZalacznika/../@nazwaPliku"/>
</span>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<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;">10. PODPIS WNIOSKODAWCY</span>
</strong>
</td>
</tr>
<tr>
<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>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Imię</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: 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>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<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: small;">Nazwisko</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: 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>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" style="border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<p style="text-align: center;">
<span style="font-family: verdana, geneva; font-size: small;">Data wypełnienia</span>
<br/>
<span style="font-family: verdana, geneva; font-size: small;">
<xsl:if test="true()">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID29"/>
</xsl:if>
</span>
</p>
</td>
</tr>
<tr>
<td> <span>
<label>
<span/>
</label>
</span>
</td>
<td> <span>
<label>
<span/>
</label>
</span>
</td>
</tr>
</tbody>
</table>
<table align="right">
<tr>
<td style="width: 100%;">
<p/>
<p/>
<p align="right" style="text-align: left;font-size: small;font-family: verdana, geneva;line-height: 20px;">
<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>
<br/>
<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']"/>
</xsl:if>
<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>
</xsl:choose>
</xsl:for-each>
</xsl:when>
<xsl:otherwise>
<xsl:text>Dokument nie zawiera podpisu</xsl:text>
</xsl:otherwise>
</xsl:choose>
<br/>
</p>
</td>
</tr>
</table>
</body>
</html>
</xsl:for-each>
</xsl:template>
</xsl:stylesheet>