P R E H L Á S E N I E

         Prehlasujem, že sa vzdávam odvolania a zákonom stanovenej   15 dňovej   lehoty na vznesenie pripomienok a námietok proti rozhodnutiu Mesta Žiliny,
Obce .................................................................................................

vo veci rozhodnutia č. ...................................................  zo dňa  .........................................................
parc. č. ....................................................... v k. ú. ...............................................................................

Stavebník : ...........................................................................................................................................
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Susedia :    ...........................................................................................................................................
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Stavebný dozor : .................................................................................................................................
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Projektant :  .........................................................................................................................................
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Mesto – primátor:  ..............................................................................................................................

Obec – starosta :     ..............................................................................................................................

V ................................ dňa .............................