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["様式第3号（第5条関係）"]
[]
[null,null,null,"承認工事着手"]
[null,null,null,"承認工事完成"]
[null,"道路",null,"占用開始",null,"届"]
[null,null,null,"占用完了"]
[null,null,null,"原状回復"]
[]
[{"$nulls":7},"年　　　月　　　日"]
[]
["道路管理者　玉城町長　　　　　　　　あて"]
[]
[]
[null,null,null,"〒　　　　－"]
[null,null,null,"住　所"]
[null,null,null,"氏　名　"]
[null,null,null,"担当者"]
[null,null,null,"電話番号　"]
[]
[null,null,"承認工事を着手する"]
[null,null,"承認工事が完成した"]
["次のとおり道路の",null,"占用を開始する",null,"ので届け出ます。"]
[null,null,"占用が完了した"]
[null,null,"現状を回復した"]
[]
["施行（占用）場所","路線名",null,null,null,"歩道 ・ 町道 ・ その他（　　　　）"]
[null,"場所"]
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["工事（占用）の目的"]
[]
[]
["施行承認（占用許可）"]
["年月日及び施行承認","　　　　　　　　　　年　　　月　　　日　　　　　　　　　　第　　　　　　号"]
["（占用許可）番号"]
["施行承認（占用許可）"]
["工事期間",null,"年　　　月　　　日　　～　　　　　年　　　月　　　日"]
["工事着手（占用開始、"]
["原状回復）日",null,"年　　　月　　　日"]
["工事完成（占用完了）"]
["年月日及び施行承認",null,"年　　　月　　　日"]
["添付書類","承認書（写し）、許可書（写し）、施工完成写真、その他必要な書類"]
[null,"〔　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　〕"]
["　備　　　考"]

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