编辑: Mckel0ve 2019-07-02
"格式文书五",,

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"广东省排污许可证注销登记表",,

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,"

1、持证单位",,

"

2、发证机关", ,"(盖章)",,

, ,,

,"40179",,

,"地区","年度","编号" "拟注销许可证编号" "拟注销许可证的单位名称",,

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"拟注销许可证的单位通信地址",,

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"注销原因",,

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"主办部门意见:",,

"发证机关意见:",,

"经办人(签字):主办部门(盖章)",,

"发证机关(盖章)",,

"40179",,

"40179",,

"是","√" "否","*"

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