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["要領様式第4号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1]
["道　路　占　用　者　変　更　届　出　書"]
[null,"吹　田　市　長　 宛",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,"年",null,"月",null,"日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"届出人",null,null,"〒"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※","本人（法人その他の団体にあっては代表者）による\n自署又は記名押印してください。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail"]
[]
[null,"　先に許可（回答）のあった道路の占用について、下記のとおり道路占用者を変更したいので、"]
[null,"吹田市道路占用規則第５条の規定により届け出します。"]
["従前の許可\n番号年月日",null,null,null,"令和",null,null,"年",null,"月",null,"日",null,null,null,null,null,null,null,"吹田市指令",null,null,null,null,null,null,null,null,"号"]
["占用の場所",null,null,null,"路線名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"車道","・",null,"歩道","・",null,"その他"]
[null,null,null,null,"場所","吹田市"]
["届出事由"]
["変更前",null,null,null,"住所",null,"〒"]
[]
[null,null,null,null,"氏名"]
["変更後",null,null,null,"住所",null,"〒"]
[]
[null,null,null,null,"氏名"]
["添付書類"]
[]
[null,null,null,"記 載 事 項"]
[]
["　１．",null,"届出人が法人である場合には、｢住所｣の欄には主たる事務所の所在地、｢氏名｣の欄には名称及び代表者"]
[null,"の氏名を記載するとともに、｢担当者｣の欄に所属・氏名を記載してください。"]
["　２．",null,"｢場所｣の欄には、従前の道路占用許可書又は回答書に記載されたとおりに地番まで記載してください。"]
[null,"占用が２以上の地番にわたる場合には、起点と終点を記載してください。"]
[null,"｢車道・歩道・その他｣については、該当するものを○で囲んでください。"]
["　３．",null,"｢従前の許可番号年月日｣の欄には、従前の道路占用許可書又は回答書の番号及び年月日を記載してください。"]
[]
["上記のとおり、占用者変更に係る届出がありましたので、占用者変更を承認してよろしいですか。"]
["決裁",null,null,null,null,null,null,null,null,null,"起案者",null,null,"文書分類",null,null,null,null,null,"保存区分"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"起案",null,null,null,"令和",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"決裁",null,null,null,"令和",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"施行",null,null,null,"令和",null,null,"年",null,"月",null,"日"]

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["○"]