REQUERIMENTO

EXCELENTÍSSIMO SENHOR PREFEITO DE – GO

EU, __________________________________________________________________________

Residente e domiciliado em: _____________________________________________. Quadra:

_____, Lote: _____, nº _____, Bairro: _________________________________________.

Fone: (____) ______________________. E-mail: ________________________________________.

Portador do RG nº ____________________ C.P.F ____________________________ ou

C.N.P.J:________________________________.

Venho requerer junto ao Município,

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N. Termos
P. Deferidos

Autorizações: xx, _______ DE _________________ DE ________

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REQUERENTE

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