ࡱ> @LvbjbjFFX,,($444P5Tr5G266666666EEEEEEE$9HRJpE66666E66F;;;666E;6E;;VjC@ D65 pQ47C .DF0GCTJ;:J DJ D$66;66666EE$;PYloha . 2 kvyhlace . 503/2006 Sb. Adresa pYsluanho Yadu Yad: ................................................................... Ulice: ................................................................... PS , obec: ................................................................... V & & & & ...& & & & & & & & dne& & ..& ....& & . Vc: }DOST O ZEMN PLNOVAC INFORMACI o podmnkch proveden jednoduchch staveb podle ustanoven 21 odst. 1 psm. d), odst. 2 a~ 4 zkona . 183/2006 Sb., o zemnm plnovn a stavebnm Ydu (stavebn zkon) a 2 vyhlaky . 503/2006 Sb., o podrobnja prav zemnho Yzen, veYejnoprvn smlouvy a zemnho opatYen. ST A. I. }adatel  FORMCHECKBOX  fyzick osoba jmno, pYjmen, datum narozen, msto trvalho pobytu (popY. jin adresa pro doru ovn)  FORMCHECKBOX  fyzick osoba podnikajc  podn souvis sjej podnikatelskou innost jmno, pYjmen, druh podnikn, identifika n slo, adresa zapsan vobchodnm rejstYku nebo vjin zkonem upraven evidenci (popY. jin adresa pro doru ovn)  FORMCHECKBOX  prvnick osoba nzev nebo obchodn firma, identifika n slo nebo obdobn daj, adresa sdla (popY. jin adresa pro doru ovn), osoba oprvnn jednat jmnem prvnick osoby .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... }d-li o vydn informace vce ~adatelo, jsou daje obsa~en vbod I. pYipojen vsamostatn pYloze:  FORMCHECKBOX  ano  FORMCHECKBOX  ne }adatel jedn:  FORMCHECKBOX  samostatn  FORMCHECKBOX  je zastoupen: jmno, pYjmen / nzev nebo obchodn firma, zstupce; msto trvalho pobytu / adresa sdla (popY. jin adresa pro doru ovn): .......................................................................................................................................................................... .......................................................................................................................................................................... & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. II. Pozemky dot en zmrem obeckatastrln zemparceln .druh pozemku podle katastru nemovitostvmra     Jedn-li se o vce pozemko, ~adatel pYipojuje daje obsa~en vbod II. vsamostatn pYloze:  FORMCHECKBOX  ano  FORMCHECKBOX  ne III. daje o sou asnm stavu vyu~vn pozemko a stavbch na nich .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. IV. daje o zmru na zmnu vzem  FORMCHECKBOX  el a technick proveden stavby  FORMCHECKBOX  zmna stavby a zmny jejch vlivo na vyu~it zem .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .. V. Navrhovan zmny Ploan a vakov uspoYdn navrhovanch zmn: .......................................................................................................................................................................... .......................................................................................................................................................................... Podorysn velikost a vaka stavby, jej tvar, vzhled a lenn: .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... VI. PYpadn nroky na napojen na veYejnou dopravn a technickou infrastrukturu .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... VII. PRT * . T  . V \  d h j t }v h%.5aJhabh%.5CJhlh%.6OJQJ^JaJ#hlh%.6CJOJQJ^JaJhlh%.6OJQJ^J#hlh%.6CJOJQJ^JaJh:7h%.aJhySvh%.aJh~h%.CJOJQJaJh%.CJOJQJaJ h%.aJh%.-PR V X Z h j R b $Xa$gd%. $a$gd%.  Sxgd%. 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VIII. Zdovodnn architektonickho a urbanistickho Yeaen stavby a jej za lenn do zem .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... IX. Vliv stavby a jejho provozu zejmna na veYejn zdrav a ~ivotn prostYed .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... X. Rozsah staveniat a uspoYdn staveniatnho zaYzen .......................................................................................................................................................................... .......................................................................................................................................................................... .......................................................................................................................................................................... XI. daje k posouzen, ~e zamalen stavba splHuje nsledujc po~adavky:  FORMCHECKBOX  je v souladu s obecnmi po~adavky na vstavbu,  FORMCHECKBOX  je umiseovna v zastavnm zem nebo v zastaviteln ploae,  FORMCHECKBOX  podstatn nemn pomry v zem, zejmna se nemn urbanistick a architektonick charakter prostYed,  FORMCHECKBOX  zamalen stavba nevy~aduje posouzen vlivu na ~ivotn prostYed podle zvlatnho prvnho pYedpisu,  FORMCHECKBOX  nevy~aduje nov nroky na veYejnou dopravn a technickou infrastrukturu. & & & & & & & & & & & & & & & & & & & .. podpis ~adatele nebo jeho zstupce ST B. PYlohy k ~dosti:  FORMCHECKBOX Grafick pYloha ve dvou vyhotovench obsahujc situa n vkres sou asnho stavu zem na podklad katastrln mapy v etn parcelnch sel, se zakreslenm po~adovanho umstn stavby nebo zmny stavby a zmny jejho vlivu na vyu~it zem, s vyzna enm vazeb a inko na okol, zejmna vzdlenost od hranic pozemku a sousednch staveb. FORMCHECKBOX daje obsa~en vbod XI. 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