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Wójt/Burmistrz/Prezydent Miasta* (adres wnioskodawcy) ..................................................................... ........................................................... WNIOSEK O UDOSTPNIENIE SPISU WYBORCÓW Na podstawie art. 36 ustawy z dnia 5 stycznia 2011 r. - Kodeks wyborczy (Dz. U. Nr 21, poz. 112, z pózn. zm.) prosz o potwierdzenie, |e figuruj w spisie wyborców: 1) imi (imiona) ...................................................................... 2) nazwisko ...................................................................... 3) adres zamieszkania: a) gmina (miasto, dzielnica) ...................................................................... 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