CATRE,
CATRE,
POLITIA LOCALA A MUNICIPIULUI BISTRITA
Subsemnatul(a)____________________________________, cu domiciliul in localitatea
_____________________, str.___________________________, nr.____, bl.___, sc.___, ap.___, jud.
____________________, nr.telefon fix/mobil__________________/___________________, reprezentant al ___________________________________, cu sediul in localitatea________________
str.________________________, nr.____, bl.____, sc.____, ap.___, jud._______________________ C.I.F._____________________, solicit eliberarea autorizatiei si permisului de acces pe raza municipiului Bistrita pentru autovehiculul cu nr. de inmatriculare________________________, aflat in proprietatea________________________________, cu masa maxima autorizata de _____ tone, in perioada de_______________________________, tipul programului __________, pe urmatorul traseu (in urmatoarele locatii) *: __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Precizez ca autovehiculul mentionat va efectua urmatoarele activitati/operatiuni : ______
__________________________________________________________________________________
__________________________________________________________________________________
Data si ora: Semnatura
NOTA :
In cazul persoanelor fizice care depun cerere, vor anexa urmatoarele documente in copie :
-certificat de inmatriculare sau carte de identitate a autovehiculului;
-C.I. sau buletin de identitate .
Persoanele juridice vor depune in copie urmatoarele :
-certificat de inmatriculare sau carte de identitate a autovehiculului;
-certificatul de inregistrare la Registrul Comertului sau, dupa caz, certificatul de inregistrare fiscala.
* Traseul se va stabili de catre reprezentantul desemnat al Politiei Locale.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.