行政许可听证申请书(行政许可文书)
行政许可听证申请书
申请人:_________________________ 通讯地址
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委托代理人:_________________________ 通讯地址
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实施行政许可机关:
__________________________________________________________ 行政许可项目名称:
__________________________________________________________ 听证目的:
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听证理由和证据:
___________________________________________________________ _
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申请人签名:______________
____年____月____日