BERITA ACARA PERSETUJUAN LOKASI SURVEY.doc

2
KOP PU PROPINSI BERITA ACARA PERSETUJUAN LOKASI SURVEI Pada hari ini, ......................... tangg al ................. bula n ........................... tahun 2015, bertempat di : Sat uan Ker ja :  .................................................................................................................................................................  ............................................................................................................................. ............... ..................... Prpin!i :  ................................................................................................................................................................. " elah dila#u#an di!#u!i tentang pemilihan l#a!i !ur$e% untu# #egiatan Pemutakhiran Data Kawasan Permukiman Perd esaa n P!tensia" Te rtin## a" Te r$en %i" Dan Pu"au Pu"au Ke%i" Di &i"a'ah Ba"i Nusa Ten##a ra (a"uku Dan Pa$ua) Setelah memperhati#an dan mempertimbang#an berbagai hal, diperleh ha!il #e!epa#atan l#a!i !ur$e% adalah !ebagai beri#ut : Prpin!i :  ................................................................................................................................................................. Kab upa ten : 1. ......................................................................................................................................................... 2. ......................................................................................................................................................... &. ......................................................................................................................................................... '. ......................................................................................................................................................... (emi#ian berita a)a ra ini dibuat unt u# ditaati dan dip erg una#an !eb aga imana me!tin%a ................., .................... 2015 K!nsu"tan * Sur+e'!r SA TKER PROPINSI *.................................+ *.......................................+ NIP. : ...............................

Transcript of BERITA ACARA PERSETUJUAN LOKASI SURVEY.doc

7/17/2019 BERITA ACARA PERSETUJUAN LOKASI SURVEY.doc

http://slidepdf.com/reader/full/berita-acara-persetujuan-lokasi-surveydoc 1/1

KOP PU PROPINSI

BERITA ACARAPERSETUJUAN LOKASI SURVEI

Pada hari ini, ......................... tanggal ................. bulan ........................... tahun2015, bertempat di :

Satuan Kerja : ................................................................................................................................................................. 

.................................................................................................................................................................

Prpin!i : .................................................................................................................................................................

"elah dila#u#an di!#u!i tentang pemilihan l#a!i !ur$e% untu# #egiatan PemutakhiranData Kawasan Permukiman Perdesaan P!tensia" Tertin##a" Ter$en%i" Dan Pu"auPu"au Ke%i" Di &i"a'ah Ba"i Nusa Ten##ara (a"uku Dan Pa$ua)

Setelah memperhati#an dan mempertimbang#an berbagai hal, diperleh ha!il #e!epa#atanl#a!i !ur$e% adalah !ebagai beri#ut :

Prpin!i : .................................................................................................................................................................

Kabupaten : 1. .........................................................................................................................................................

2. .........................................................................................................................................................

&. .........................................................................................................................................................

'. .........................................................................................................................................................

(emi#ian berita a)ara ini dibuat untu# ditaati dan diperguna#an !ebagaimaname!tin%a

................., .................... 2015

K!nsu"tan * Sur+e'!r SATKER PROPINSI

*.................................+ *.......................................+NIP. : ...............................