Uszczegółowienie wniosku o udostępnienie rejestru cen i wartości

Uszczegółowienie wniosku o udostępnienie rejestru cen i wartości

Formularz
!" #$%&%'()*+,-'.-' ,.-+$/0 + 01+$234.-'.-' 5'6'$250 &'. - ,752+8&- .-'50&9+:+8&-
P4
UA-)5 17.=&9 1+2=&%D&=&9 &'. 257.$7/&=6.=&9
.-'50&9+:+8&- , 4+$27&- 'C'/25+.-&%.'6
UA-)5 17.=&9 1+2=&%D&=&9 ,752+8&- .-'50&9+:+8&w postaci elektronicznej
M=&-D( % @S-MP , 4+$27&- 1+/0:'.20 150/+,7.'(+
%7,-'576D&= &'.= 257.$7/&=6.'
M=&-D( % @S-MP , 4+$27&- 1+/0:'.20 150/+,7.'(+
%7,-'576D&= ,752+8&- .-'50&9+:+8&-
;/5'$< , /2)5=: %+$27*= %7,752' 257.$7/&6'
067,.-+.' , 5'6'$25%'> +1 ??????""" 1+ ????""??"
@+1%76' .-'50&9+:+8&->
.-'%7A01+,7.7 6'1.+0B=2/+,7 5+C.7
.-'%7A01+,7.7 5+C.7 ,-'C+0B=2/+,7
.-'%7A01+,7.7 C'8.7
zabudowana rolna
.-'%7A01+,7.7 45%'%.7&%+.7 4+1 %7A01+,3 -..D .-B %7(5+1+,7
zabudowana budynkiem lub budynkami mieszkalnymi
%7A01+,7.7 A01=./7:- 4'*.-D&=:- -..' E0./&6'
budynkowa
lokalowa
%7A01+,7.7 C'8.7
-..7 .-'50&9+:+8F
G+172/+,' /5=2'5-7 ,=A+50 .-'50&9+:+8&-1:
G+172/+,' ,=678.-'.-7>
T" G7.' -1'.2=E-/06D&' +A$%75 +A632= ,.-+$/-':
6'1.+$2/- 4+1%-7*0 2'5=2+5-7C.'(+
6'1.+$2/- 4+1%-7*0 /5760 $2+$+,7.' , HI-J
K6'1.+$2/- ',-1"< +A53A= ',-1"< 1%-7*/- ',-1"L
+A$%75 +/5'8C+.= .7 %7*D&%.-/0 (57E-&%.=:
;A$%75 +/5'8C+.= , %7*D&%+.=: 4C-/0 ,'/2+5+,=: , 0/*71%-' ,$4)*">
PL-2000
-..=: 1+40$%&%+.=: 45%'% +5(7. 45+,71%D&= %7$)A ??""?"
M$4)*5%31.' 4+C-(+.0 , 0/*71%-' ,$4)*">
PL-2000
-..=: 1+40$%&%+.=: 45%'% +5(7. 45+,71%D&= %7$)A ????"
2
O" P5 0457,.-'Q %7,+1+,=&9 5%'&%+%.7,&= :76D2/+,'(+
R" G+172/+,' ,=678.-'.-7 - 0,7(- ,.-+$/+17,&=
WNIOSKODAWCA
3
N:-3< .7%,-$/+ +57% 4+14-$ ,.-+$/+17,&=
Przypisy:
1. 8$4!"($'!*+#$/,:#)#.$3!3#5:!/-$:&95-&2#>$5#:2-$<#:A$4&)-)+#1)-+2-$/$'2-<,1!/9'$4"#+2-$)#B!,4!3#&!/#+2#$4&)-,5&)-++-B!>$&!3)#<$5&#+,#:1<2>$&!3)#<$&9+:($C/$!3+2-,2-+2($3!$+2-&(1@!'!012$"!:#"!/91@D>$+&$
:!+39B+#1<2$C/$!3+2-,2-+2($3!$+2-&(1@!'!012$"!:#"!/91@D>$B;?/+#$%(+:1<#$6(39+:(>$&!3)#<$"!:#"(>$4!/2-&)1@+2#$+2-&(1@!'!012$!3$77777$3!$777777>$4!/2-&)1@+2#$(*95:!/#$6(39+:($!3$777777$3!$777777>$4!/2-&)1@+2#$(*95:!/#$
lokalu od ..... do .........
2. E+%!&'#1<#$/9'#B#+#>$<-*-"2$(3!,5F4+2#+-$3#+-$GH28I$/9:!&)9,59/#+-$6F3=$3!$/9:!+#+2#$/91-+9$+2-&(1@!'!0127$
3.
!342,$!3&F1)+9>$4!342,$-"-:5&!+21)+9>$!$:5?&9'$'!/#$/$#&57$J$4:5$K$(,5#/9$)$3+2#$KL$/&)-0+2#$MNNK$&7$!$4!342,2-$-"-:5&!+21)+9'>$6-)42-1)+9$4!342,$-"-:5&!+21)+9>$!$:5?&9'$'!/#$/$#&57$J$4:5$M$(,5#/9$)$3+2#$
KL$/&)-0+2#$MNNK$&7$!$4!342,2-$-"-:5&!+21)+9'>$4!342,$4!5/2-&3)!+9$4&!%2"-'$)#(%#+9'$- OP >$!$:5?&9'$'!/#$/$#&57$J$4:5$KQ$(,5#/9$)$3+2#$KR$"(5-B!$MNNQ$&7$!$2+%!&'#59)#1<2$3)2#;#"+!012$4!3'2!5?/$&-#"2)(<=191@$
)#3#+2#$4(6"21)+->$"(6$/$4&)94#3:($,:;#3#+2#$/+2!,:($)#$4!'!1=$,9,5-'($5-"-2+%!&'#591)+-B!>$!$:5?&9'$'!/#$/$4&)-42,#1@$/93#+91@$+#$4!3,5#/2-$#&57$SN$(,57$L$(,5#/9$T$ &#/!$B-!3-)9<+-$2$:#&5!B&#%21)+->$
23-+59%2:#5!&$('!*"2/2#<=19$/-&9%2:#1<F$/+2!,:!3#/19$/$59'$,9,5-'2-7
M=678.-'.-7>
1. U!&'("#&)-$3&(:!/#+-$+2-$'(,)=$(/)B"F3+2#.$!)+#1)-V$:!"!&9,591)+91@7
2.
!"#$%!&'("#&)#$'!*+#$&!),)-&)#.$/$)#"-*+!012$!3$4!5&)-67$8$4&)94#3:($/94-;+2#+2#$%!&'("#&)#$/$4!,5#12$4#42-&!/-<$%!&'("#&)$'!*-$69.$()(4-;+2#+9$)#;=1)+2:#'2$)#/2-&#<=19'2$2+%!&'#1<->$:5?&91@$+2-$'!*+#$69;!$
)#'2-012.$/$%!&'("#&)(7$$$