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调查笔录

发布时间:2017-12-19

衡阳市城乡规划局

     

        

 

时间                      

地点                                                                

调查人(签名)           单位               执法证号                

调查人(签名)           单位               执法证号               

记录人(签名)           单位               执法证号               

被调查人              性别        出生日期              民族        

户籍所在地                                        文化程序          

现住址                                                              

被调查人身份证明种类及号码                                          

联系方式                                                           

问:我们是衡阳市城乡规划局     规划分局执法人员,已向你出示执法证。现向你调查有关情况,请你如实陈述并提供证据。有意作伪证或者隐匿证据将承担法律责任,你听清楚了吗?

答:                                                               

问:根据有关法律规定,你可以对本次执法人员申请回避。申请回避的,请提出申请回避的理由并提交相关证据。你是否申请回避?

答:                                                                

                                                                   

                                                                   

                                                                   

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