DOMANDA DI RIESAME PRATICA

Il/La sottoscritto/____________________________________ tel. ____________________________________
residente in via ______________________________________________________________ n° ___________
qualità di (1) _____________________________________________in relazione alla domanda di concessione edilizia in sanatoria prot. n°. ________________ del ___/ ___/ _____/ richiesta da ________________________________________ con la presente chiede che venga riesaminata la pratica non concordando con i termini della notifica/comunicazione prot.n______________ del ___/___/_____/ per i seguenti motivi: 

OBLAZIONE:______________________________________________________________________________
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ONERI CONCESSORI:______________________________________________________________________
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DIRITTI DI SEGRETERIA: ___________________________________________________________________
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SUPERFICI E VOLUMI: _____________________________________________________________________
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ZONA URBANISTICA:______________________________________________________________________
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ALTRO ( specificare ): ______________________________________________________________________
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Allega inoltre la seguente documentazione integrativa:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Lanuvio lì, ___/___/_____/	                                                 		      Il/La Richiedente

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Allega, in applicazione dell’art. 38 del D.P.R. n°445 del 28/12/2000, copia del documento di riconoscimento. 
(1) Proprietario, comproprietario, detentore di altro diritto reale o tecnico incaricato.