(首页) 共 页
案由___________________________________
用地单位(人)_________________________
勘测时间_______________________________
勘测地点_______________________________
被邀参加人_____________________________
勘测人____________ 记录人_____________
勘测情况 (包括项目名称、四至方位、占地类型、占地面积、建筑面积等)
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
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附图: 比例尺: 北↑
用地单位签名:_________(盖章) 勘测人签名:_________(盖章)
被邀参加人签名:_______(盖章)