TABIVERE  VALLAVALITSUS

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	avaldaja nimi								kuupäev

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	sünniaeg

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	aadress

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	telefon

SOTSIAALKORTERI TAOTLEMISE AVALDUS 

Palun anda mulle üürile Tabivere valla  sotsiaalkorter aadressil Tabivere vald 

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Andmed pereliikmete ja ülalpeetavate kohta:___________________________________________ 

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Taotlemise põhjus:________________________________________________________________ 

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Andmed perekonna sissetulekute kohta______________________________________________ 

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		allkiri