ࡱ> @abjbjFFX,,"M<<<<<<<$`H.H.H.P.<.`?/`0dH1H1H1H1H1H1>>>>>>>$@RBp><H1H1H1H1H1><<H1H1?j7j7j7H1.<H1<H1>j7H1>j7j7:<,<<=H1x/ ¨H.v1\< A=?0?<RjC6vjC=``<<<<jC<=,H1H1j7H1H1H1H1H1>>``DH7"``DPYloha . 7 kvyhlace . 526/2006 Sb. Adresa pYsluanho Yadu Yad: ................................................................... Ulice: ................................................................... PS , obec: ................................................................... V & & & & ...& & & & & & & & dne& & ..& ....& & . Vc: OHL`EN ODSTRANN  FORMCHECKBOX  stavby  FORMCHECKBOX  ternnch prav  FORMCHECKBOX  zaYzen podle ustanoven 128 zkona . 183/2006 Sb., o zemnm plnovn a stavebnm Ydu (stavebn zkon), a 15 vyhlaky . 526/2006 Sb., kterou se provdj nkter ustanoven stavebnho zkona ve vcech stavebnho Ydu ST A. I. Vlastnk stavby  FORMCHECKBOX  fyzick osoba jmno, pYjmen, datum narozen, msto trvalho pobytu (popYpad t~ adresa pro doru ovn, nen-li shodn smstem trvalho pobytu)  FORMCHECKBOX  fyzick osoba podnikajc  podn souvis sjej podnikatelskou innost jmno, pYjmen, datum narozen, I  bylo-li pYidleno, msto trvalho pobytu (popYpad t~ adresa pro doru ovn, nen-li shodn smstem trvalho pobytu)  FORMCHECKBOX  prvnick osoba nzev nebo obchodn firma, I  bylo-li pYidleno, adresa sdla (popYpad t~ adresa pro doru ovn, nen-li shodn sadresou sdla), osoba oprvnn jednat jmnem prvnick osoby .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... Ohlauje-li odstrann stavby vce osob, jsou daje obsa~en vtomto bod pYipojeny vsamostatn pYloze:  FORMCHECKBOX  ano  FORMCHECKBOX  ne II. Vlastnk stavby jedn  FORMCHECKBOX  samostatn  FORMCHECKBOX  je zastoupen: jmno, pYjmen, nzev nebo obchodn firma, zstupce; msto trvalho pobytu/adresa sdla (popYpad t~ adresa pro doru ovn, nen-li shodn smstem trvalho pobytu nebo sadresou sdla): .......................................................................................................................................................................... .......................................................................................................................................................................... III. Msto a ozna en odstraHovan stavby obeckatastrln zemparceln .Ozna en stavby IV. Vlastnick prva kpozemku zastavnmu odstraHovanou stavbou Pozemek parc. .: & & & & & & .& & ......, katastrln zem: & & & & & & & & & & & & & & & & . Vlastnk:  FORMCHECKBOX  shodn svlastnkem stavby  FORMCHECKBOX  fyzick osoba jmno, pYjmen, datum narozen, msto trvalho pobytu (popYpad t~ adresa pro doru ovn, nen-li shodn smstem trvalho pobytu)  FORMCHECKBOX  prvnick osoba nzev nebo obchodn firma, I  bylo-li pYidleno, adresa sdla (popYpad t~ adresa pro doru ovn, nen-li shodn sadresou sdla), osoba oprvnn jednat jmnem prvnick osoby .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... V. Zkladn daje o stavb Ozna en, el a kapacita stavby: & & & ..& & & & & & & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & Podorys, vaka stavby: ...................................................................................................................... Je ve stavb zabudovn azbest: ano ne  FORMCHECKBOX   FORMCHECKBOX  VI. Dovody kodstrann stavby, pYedpokldan termn zapo et a ukon en prac & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. .& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. VII. 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Svpomoc (tk se staveb, kter nevy~adovaly stavebn povolen, veYejnoprvn smlouvu, certifikt autorizovanho inspektora) : Jmno a pYjmen osoby, kter bude provdt stavebn dozor & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. Jmno a pYjmen autorizovan osoby (stavbyvedoucho), kter bude zajiaeovat odborn veden pYi svpomocnm provdn bouracch prac na stavb, vn~ je pYtomen azbest & & & & & & & & & & & & & & & & & & & & & & ............................................................................... Spou~itm trhavin  FORMCHECKBOX  ano  FORMCHECKBOX  ne VIII. Informace, zda je stavba dosud u~vna  FORMCHECKBOX  ano  FORMCHECKBOX  ne vpYpad odstrann vodovodu nebo kanalizace pro veYejnou potYebu po et odbratelo ( 2 odst. 5 zkona . 274/2001 Sb., o vodovodech a kanalizacch) ......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. IX. OpatYen na sousednm pozemku Kprovdn bouracch prac m bt pou~it sousedn pozemek (stavba)  FORMCHECKBOX  ano  FORMCHECKBOX  ne svlastnkem tto nemovitosti dohoda uzavYena  FORMCHECKBOX  ano  FORMCHECKBOX  ne Vkladnm pYpad uvst rozsah zboru & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. dobu zboru& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. Identifikace sousednch pozemko nezbytnch kproveden bouracch prac obeckatastrln zemparceln .druh pozemku podle katastru nemovitostvmra   X. Statistick ukazatele U budov obsahujcch byty se uvdj nsledujc statistick ukazatele 1. Druh (charakter) odstraHovan budovy (dom bytov, rodinn, jin budova obsahujc byt) & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & 2. Celkov podlahov plocha budovy (m)& & & & & & & & & & & & & & & & & & & .. 3. Po et zanikajcch byto, jejich velikost a rok jejich vzniku& & & & & & & & & & & & & & & & & 4. U~itkov plocha zanikajcch byto (m)& & & & & & & & & & & & & & & & & & & & & & ............. 5. Obytn plocha zanikajcch byto (m)& & & & & & & & & & & & & & & & & & & & & & & & & & 6. Po et zanikajcch podla~ budovy, vnich~ zanikaj byty& & & & & & & & & & & & & & & & & & .. & & & & & & & & & & & & & & & & & & .. podpis ST B. 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