Lampiran 33
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DAFTAR
PERUBAHAN DATA OBJEK/SUBJEK PBB |
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PROPINSI |
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DATI II |
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Nomor Bundel |
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KECAMATAN |
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DESA |
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TAHUN |
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N O M O R |
U R U T |
Nomor
Urut Pere kaman |
Nomor |
DATA
LAMA |
DATA
BARU |
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B L O K |
N O P |
Letak
Objek |
Nama
dan Alamat Wajib Pajak |
Bumi |
Bangunan |
S T A T U S |
PEKERJAAN |
NAMA |
ALAMAT |
Nomor
KTP |
BUMI |
BANGUNAN |
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L U A S |
J T |
Luas
(m2) |
Nama
Jalan, Nomor Blok/Kavling/Dusun |
RW |
RT |
LUAS M2 |
KODE
ZNT |
Jenis
Tanah |
LUAS M2 |
Jumlah
Bangunan |
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*) Apabila terdapat bangunan, maka LSPOP/LSPOP Kolektif
harus dilampirkan |
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KEPALA
DESA |
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(…………………………………………………………………………) |
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Lampiran
34
KANTOR PELAYANAN PBB ……………………………………………
PENGAWASAN
PEKERJAAN LAPANGAN
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Tanggal |
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Nama Petugas |
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(NIP :
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Nomor Blok |
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Desa/Kelurahan : |
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I. |
PELAKSANAAN KEGIATAN LAPANGAN |
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Jenis
Kegiatan |
Dilaksanakan |
Keterangan |
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Ya |
Tidak |
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Pengukuran OP |
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Pembuatan sket bidang |
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Pencantuman ukuran sisi T/B |
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Pemberian NOP pada Peta |
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Penempelan sticker NOP |
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Pengisian SPOP |
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Penandatanganan SPOP |
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II. |
PRESTASI KERJA |
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Periode |
Pengukuran/Identifikasi/Verifikasi
OP |
Penyampaian
SPOP |
Keterangan |
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Luas
(m2) |
Jumlah |
Dikirim |
Kembali |
Sisa |
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Tanah |
Bangunan |
OP |
Blok |
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s/d minggu lalu |
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Minggu ini |
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s/d minggu ini |
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III. |
HAMBATAN/MASALAH YANG DITEMUI |
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IV. |
SARAN PEMECAHAN MASALAH |
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V. |
LAIN-LAIN |
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PETUGAS, |
PENGAWAS, |
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