{\rtf1\ansi\ansicpg1250\uc1 \deff0\deflang1033\deflangfe1045{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f2\fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;} {\f3\froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f14\fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}{\f20\froman\fcharset238\fprq2 Times New Roman CE;}{\f21\froman\fcharset204\fprq2 Times New Roman Cyr;} {\f23\froman\fcharset161\fprq2 Times New Roman Greek;}{\f24\froman\fcharset162\fprq2 Times New Roman Tur;}{\f25\froman\fcharset186\fprq2 Times New Roman Baltic;}{\f32\fmodern\fcharset238\fprq1 Courier New CE;} {\f33\fmodern\fcharset204\fprq1 Courier New Cyr;}{\f35\fmodern\fcharset161\fprq1 Courier New Greek;}{\f36\fmodern\fcharset162\fprq1 Courier New Tur;}{\f37\fmodern\fcharset186\fprq1 Courier New Baltic;}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255; \red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0; \red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;}{\stylesheet{\nowidctlpar\widctlpar\adjustright \lang1045\cgrid \snext0 Normal;}{\*\cs10 \additive Default Paragraph Font;}{\s15\sb100\sa100\nowidctlpar\widctlpar\adjustright \lang1045\cgrid \sbasedon0 \snext15 Normal (Web);}{\s16\sb120\nowidctlpar\widctlpar\adjustright \b\lang1045\cgrid \sbasedon0 \snext16 Body Text;}{\s17\nowidctlpar\widctlpar\adjustright \fs20\lang1045\cgrid \sbasedon0 \snext17 Body Text 2;}}{\*\listtable {\list\listtemplateid-1811223804{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fs20\fbias0 \fi-360\li720\jclisttab\tx720 }{\listlevel\levelnfc23\leveljc0\levelfollow0 \levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fs20\fbias0 \fi-360\li1440\jclisttab\tx1440 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;} \f14\fs20\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23 \leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li3600\jclisttab\tx3600 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext \'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0 \levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li6480\jclisttab\tx6480 }{\listname ;}\listid731463225}{\list\listtemplateid1581030612{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0 {\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fs20\fbias0 \fi-360\li720\jclisttab\tx720 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fs20\fbias0 \fi-360\li1440\jclisttab\tx1440 } {\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0 \levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li3600\jclisttab\tx3600 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\leveljc0\levelfollow0 \levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers ;}\f14\fs20\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li6480\jclisttab\tx6480 }{\listname ;}\listid775635452}{\list\listtemplateid-1243860340{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720 }{\listlevel\levelnfc23\leveljc0 \levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext \'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880 } {\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0 {\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040 \jclisttab\tx5040 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360 \levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li6480\jclisttab\tx6480 }{\listname ;}\listid897279598}{\list\listtemplateid-1944129904{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0 {\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440 } {\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360 \levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600 \jclisttab\tx3600 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1 \levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li6480\jclisttab\tx6480 }{\listname ;}\listid1259870544} {\list\listtemplateid68485121\listsimple{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li360\jclisttab\tx360 }{\listname ;}\listid1512178517} {\list\listtemplateid68485121\listsimple{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li360\jclisttab\tx360 }{\listname ;}\listid1518958392} {\list\listtemplateid946895724{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li1200\jclisttab\tx1200 }{\listlevel\levelnfc23\leveljc0\levelfollow0 \levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1920\jclisttab\tx1920 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;} \f14\fbias0 \fi-360\li2640\jclisttab\tx2640 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li3360\jclisttab\tx3360 }{\listlevel\levelnfc23\leveljc0 \levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li4080\jclisttab\tx4080 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext \'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li4800\jclisttab\tx4800 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5520\jclisttab\tx5520 } {\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li6240\jclisttab\tx6240 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace360\levelindent0 {\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li6960\jclisttab\tx6960 }{\listname ;}\listid1539049425}{\list\listtemplateid68485121\listsimple{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext \'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li360\jclisttab\tx360 }{\listname ;}\listid1759137238}{\list\listtemplateid-953621136{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext \'01\u-3913 ?;}{\levelnumbers;}\f3\fs20\fbias0 \fi-360\li720\jclisttab\tx720 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fs20\fbias0 \fi-360\li1440\jclisttab\tx1440 }{\listlevel \levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0 {\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li3600 \jclisttab\tx3600 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1 \levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;} \f14\fs20\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li6480\jclisttab\tx6480 }{\listname ;}\listid1778674627 }{\list\listtemplateid1519135468{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fs20\fbias0 \fi-360\li720\jclisttab\tx720 }{\listlevel\levelnfc23\leveljc0\levelfollow0 \levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fs20\fbias0 \fi-360\li1440\jclisttab\tx1440 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;} \f14\fs20\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23 \leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li3600\jclisttab\tx3600 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext \'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0 \levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fs20\fbias0 \fi-360\li6480\jclisttab\tx6480 }{\listname ;}\listid2140413941}}{\*\listoverridetable{\listoverride\listid1778674627\listoverridecount0\ls1}{\listoverride\listid2140413941 \listoverridecount0\ls2}{\listoverride\listid731463225\listoverridecount0\ls3}{\listoverride\listid775635452\listoverridecount0\ls4}{\listoverride\listid1518958392\listoverridecount0\ls5}{\listoverride\listid1759137238\listoverridecount0\ls6} {\listoverride\listid1512178517\listoverridecount0\ls7}{\listoverride\listid1259870544\listoverridecount0\ls8}{\listoverride\listid1539049425\listoverridecount0\ls9}{\listoverride\listid897279598\listoverridecount0\ls10}}{\info {\title Dolno\'9cl\'b9ski Urz\'b9d Wojew\'f3dzki }{\author Dolno\'9cl\'b9ski Urz\'b9d Wojew\'f3dzki}{\operator Nina Zwierz}{\creatim\yr2004\mo3\dy3\hr14\min58}{\revtim\yr2004\mo3\dy3\hr14\min58}{\printim\yr2002\mo3\dy4\hr13\min58}{\version2}{\edmins0} {\nofpages1}{\nofwords371}{\nofchars2117}{\*\company O\'9crodek Informatyki}{\nofcharsws0}{\vern73}}\paperw11906\paperh16838\margl1418\margr1418\margt720\margb720 \deftab708\widowctrl\ftnbj\aenddoc\hyphhotz425\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\viewkind1\viewscale75\pgbrdrhead\pgbrdrfoot \fet0\sectd \linex0\headery709\footery709\colsx709\endnhere\sectlinegrid360\sectdefaultcl {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7 \pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \s15\qr\li720\sb100\sa100\nowidctlpar\widctlpar\adjustright \lang1045\cgrid {\b\fs20 \par }\pard \s15\sb100\sa100\nowidctlpar\widctlpar\adjustright {\fs20 DANE WNIOSKODAWCY \par }{\f20\fs20 Nazwisko i Imi\'ea / Jednostka: ......................... ..................................................... \par }{\fs20\lang1031 Nr PESEL / REGON:............................................................................................ \par }{\fs20 Adres: ...................................................................... \par Nr telefonu: .............................................................. \par }\pard \s15\qc\ri-290\sb100\sa100\nowidctlpar\widctlpar\adjustright {\b\fs20 WNIOSEK \par }\pard \s15\qc\sb100\sa100\nowidctlpar\widctlpar\adjustright {\b\f20\fs20 O UDOST\'caPNIENIE INFORMACJI PUBLICZNEJ \par }\pard \s15\ri-650\sb100\sa100\nowidctlpar\widctlpar\adjustright {\f20\fs20 Na podstawie art. 2 ust. 1 ustawy o dost\'eapie do informacji publicznej z dnia 6 wrze\'9cnia 2001 r. (Dz. U. Nr 112, poz. 1198) zwracam si\'ea z pro\'9cb\'b9 o udost\'ea pnienie informacji w nast\'eapuj\'b9cym zakresie: \par }{\fs20 .................................................................................................................................................................. \par .................................................................................................................................................................. \par .................................................................................................................................................................. \par .................................................................................................................................................................. \par .................................................................................................................................................................. \par }\pard \s15\sb100\sa100\nowidctlpar\widctlpar\adjustright {\b\f20\fs20 SPOS\'d3B I FORMA UDOST\'caPNIENIA INFORMACJI:* \par }\trowd \trgaph70\trleft-70\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb \cellx4860\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb \cellx9140\pard \s15\li360\sb100\sa100\nowidctlpar\widctlpar\intbl\adjustright {\b\fs20 \u8300\'3f}{ \f20\fs20 dost\'eap do przegl\'b9dania informacji w urz\'eadzie}{\b\fs20 \cell \u8300\'3f }{\fs20 kserokopia}{\b\fs20 \cell }\pard\plain \nowidctlpar\widctlpar\intbl\adjustright \lang1045\cgrid {\b\fs20 \row }\pard\plain \s15\sb100\sa100\nowidctlpar\widctlpar\adjustright \lang1045\cgrid {\b\f20\fs20 RODZAJ NO\'8cNIKA: \par }\trowd \trgaph70\trleft-70\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb \cellx1980\pard\plain \li360\sb100\sa100\nowidctlpar\widctlpar\intbl\adjustright \lang1045\cgrid {\b\fs20 \u8300\'3f }{\fs20 wydruk }{\b\fs20 \cell }\pard \nowidctlpar\widctlpar\intbl\adjustright {\b\fs20 \row }\pard\plain \s15\sb240\sa100\nowidctlpar\widctlpar\adjustright \lang1045\cgrid {\b\fs20 FORMA PRZEKAZANIA INFORMACJI: \par }\pard\plain \li357\sl360\slmult1\nowidctlpar\widctlpar\adjustright \lang1045\cgrid {\b\fs20 \u8300\'3f}{\f20\fs20 Przes\'b3anie informacji poczt\'b9 elektroniczn\'b9}{\fs20 pod adres .................................................... \par }\pard\plain \s17\fi-363\li720\sl360\slmult1\nowidctlpar\widctlpar\adjustright \fs20\lang1045\cgrid {\b \u8300\'3f}{\f20 Przes\'b3anie informacji poczt\'b9 pod adres** ...................................................................... \line ...........................................................................}{............................................................... \par }\pard\plain \li357\sl360\slmult1\nowidctlpar\widctlpar\adjustright \lang1045\cgrid {\b\fs20 \u8300\'3f}{\f20\fs20 Odbi\'f3r osobi\'9ccie przez wnioskodawc\'ea \par }\pard\plain \s17\nowidctlpar\widctlpar\adjustright \fs20\lang1045\cgrid {\f20 Wyra\'bfam zgod\'ea na przetwarzanie moich danych osobowych zgodnie z ustaw\'b9 o ochronie danych osobowych z dnia 29.08.1997 r. (Dz.U. .Nr 133 poz 883.z p\'f3\'9fn. }{zm.) \par }\pard\plain \s15\fi708\li4956\sb100\sa100\nowidctlpar\widctlpar\adjustright \lang1045\cgrid {\fs20 \par }\pard \s15\fi-4956\li4956\sb100\nowidctlpar\widctlpar\adjustright {\fs20 .....................................................\tab \tab ........................................................ \par }\pard \s15\fi-4248\li4956\sa100\nowidctlpar\widctlpar\adjustright {\f20\fs20 Miejscowo\'9c\'e6, data \tab \tab \tab podpis wnioskodawcy \par }\pard \s15\nowidctlpar\widctlpar\adjustright {\fs22 Uwagi: \par }{\f20\fs22 * prosz\'ea zakre\'9cli\'e6 w\'b3a\'9cciwe pole krzy\'bfykiem \par ** wype\'b3ni\'e6 je\'9cli adres jest inny ni\'bf podany wcze\'9cniej \par }\pard\plain \s16\sb120\nowidctlpar\widctlpar\adjustright \b\lang1045\cgrid {\f20\fs20 Urz\'b9d zastrzega prawo pobrania op\'b3aty od informacji udost\'eapnionych zgodnie z art. 15 ustawy o dost\'eapie do informacji publicznej \par }}