Al Sig. Sindaco 
del Comune di Giarre

Oggetto: Richiesta occupazione suolo pubblico PERMANENTE.

Il sottoscritto _____________________________________ , nato a______________________________________ 
il _________________ , residente in ______________________________ , via ____________________________
n. ________ , in nome e per conto della ditta ________________________________________________________ 
con sede in ___________________________________ via ___________________________________ n. _______
p. IVA _________________________________ recapito telefonico:____________________________con la presente rivolge domanda al fine di essere autorizzato alla occupazione di suolo pubblico in via _________________________________________________________________all’altezza del civico________per svolgere:_____________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
nel periodo dal ________________________ 
Descrizione della superficie che si intende occupare:
 marciapiede       banchina                       (lasciando uno spazio libero per il transito dei pedoni di metri __________ )
 area di sosta delimitata    corsia di marcia (lasciando uno spazio libero per il senso di marcia di metri __________ )
 altro________________________                                                                             _ si allega planimetria in scala 1:100

Dimensioni e calcolo della superficie:	m ____________	X m ____________	= m2 ___________ 
	m ____________	X m ____________	= m2 ___________ 
	m ____________	X m ____________	= m2 ___________
		TOTALE	= m2 ___________ 

Giarre li ,___________________	Firma del richiedente
 
	_______________________________

La presente richiesta deve essere inoltrata almeno 30gg prima dell'occupazione che si intende 
Realizzare
Area IV

Si esprime parere_____________________ a condizione che:______________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Giarre lì________________                                                                              Firma

Comando Polizia Municipale

Si esprime parere_____________________ a condizione che:______________________________
________________________________________________________________________________
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Giarre lì_________________                                                                          Firma