ESTADO DO RIO GRANDE DO SUL	 	
PREFEITURA MUNICIPAL DE CAPÃO DA CANOA	 	
SECRETARIA D	E ORÇAMENTO E FINANÇAS	 	
REQUERIMENTO	 	
 	
 	
REQUERIMENTO	 	
 
 
Requerente: _______________________________________________________________CPF / CNPJ	 	
Rua: ________________________________	__________________________________nº ____________	 	
Complemento: ______________Bairro: ____________________________________CEP:____________	 	
UF: ____________Cidade: ______________________________________________________________	 	
Telefone (1): _________________	_____(2): _______________________(3):_______________________	 	
 
 
Informação localização imóvel:	 	
Setor: _______________Quadra: ______________Lote: ______________Sub	-lote: __________________	 	
 
 
REQUER:	____________________________________________________________	__________________	
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Observações:	______________________________________________	____________________________	
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Data: __________/__________/___________	 	
 
 
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Assinatura do requerente