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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工 事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"道路",null,null,null,null,null,null,null,null,null,"承認申請書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使 用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[]
[]
[null,"長浜市長　　　　　様"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請者"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail"]
[]
[]
[null,"　下記により",null,null,null,null,null,null,"工事を実施",null,null,null,null,null,null,"したいので、承認願いたく関係書類を添えて申請します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
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[null,null,null,null,null,null,null,null,"道路を使用"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記"]
[]
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[null,null,"１",null,"路線名",null,null,null,null,null,null,null,null,null,null,null,"市道",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"線"]
[]
[null,null,"２",null,{"$f":"IF(AND(AX2=TRUE,AX4=FALSE),\"施工場所\",IF(AND(AX2=FALSE,AX4=TRUE),\"使用場所\",\"施工/使用場所\"))","v":"施工/使用場所"},null,null,null,null,null,null,null,null,null,null,null,"長浜市",null,null,null,null,null,null,null,null,"町",null,null,null,null,null,null,null,null,null,null,null,null,null,"番地先"]
[]
[null,null,"３",null,{"$f":"IF(AND(AX2=TRUE,AX4=FALSE),\"施工目的\",IF(AND(AX2=FALSE,AX4=TRUE),\"使用目的\",\"施工/使用目的\"))","v":"施工/使用目的"}]
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[null,null,"４",null,"工事名"]
[]
[null,null,"５",null,"施工数量"]
[]
[null,null,"６",null,"期間",null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,null,null,"年",null,null,null,"月",null,null,null,"日",null,"～",null,"令和",null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[]
[null,null,"７",null,"時間",null,null,null,null,null,null,null,null,null,null,null,"毎日",null,null,null,null,null,null,"時",null,null,null,null,"分",null,"～",null,null,null,null,"時",null,null,null,null,"分",null,null,null,null,null,null,null,null,true]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"終日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[]
[]
[]
[null,null,"８",null,"通行制限",null,null,null,null,null,null,null,null,null,null,null,"  １　通行禁止",null,null,null,null,null,null,null,null,"  ２　車両通行禁止",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ３　二輪の自動車以外通行禁止",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ４　片側通行",null,null,null,null,null,null,null,null,"  ５　徐行注意",null,null,null,null,null,null,null,null,"  ６　歩道通行禁止",null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false]
[]
[]
[]
[null,null,"９",null,"保安設備",null,null,null,null,null,null,null,null,null,null,null,"  １　警戒標識（工事中・作業中・注意）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ２　通行制限標識",null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ３　工事（作業）表示板",null,null,null,null,null,null,null,null,null,null,null,null,"  ４　迂回路表示看板",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ５　バリケード・反射式バリケード",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ６　照明灯・夜間赤色灯",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ７　通行指導員・ガードマン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[]
[]
[]
[null,null,10,null,"施工業者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL"]
[]
[]
[]
[null,null,11,null,"添付書類",null,null,null,null,null,null,null,null,null,null,null,"  １　位置図",null,null,null,null,null,null,null,"  ２　平面図",null,null,null,null,null,null,null,"  ３　保安設備配置図",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ４　迂回路設定図",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  ５　通行制限に係る関係自治会の同意書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[]
[]
[]
[null,"記載要領及び注意事項"]
[]
[null,"１\n",null,"　「工事\n　　使用」",null,null,null,null,null,null,null,null,"「工事を実施\n　道路を使用」"]
[null,null,null,null,null,null,null,null,null,"及び",null,null,null,null,null,null,null,null,null,null,"については、該当するものを○で囲むこと。"]
[]
[]
[null,"２\n",null,"　申請者が法人である場合には、「住所」の欄には主たる事務所の所在地、「氏名」の欄には名称及び代表者の氏名を記載するとともに、「担当者」の欄に所属・氏名を記載すること。"]
[]
[]
[]
[null,"３",null,"　４、５及び10の項目については、工事を実施する場合のみ記入すること。"]
[]
[null,"４",null,"　８、９及び11の項目については、該当するものの番号に〇をすること。"]
[]
[null,"５\n",null,"　11 添付書類の５（通行制限に係る関係自治会の同意書）は、８ 通行制限の１～３に該当する場合のみ添付すること。なお、必要に応じて、付近住民に対する声掛けを行うこと。"]
[]
[]
[]
[null,"６",null,"　本申請書は、道路工事の場合は３部、道路使用の場合は２部提出すること。"]