Professional Documents
Culture Documents
Modulo 01
Modulo 01
COMANDO DECENTRATO 1
UFFICIO TRASPORTI ECCEZIONALI
AREA C - Ordinanza Sindacale n.693/2019 del 19/04/2019 e n. 176/2021 del 17/2/2021 – Determinazione Dirigenziale n. 8089 del 30/09/2021
Il/la sottoscritto/a
Nato/a a Prov. Il
Residente in Via N.
CAP Tel. FAX/CELL.
Codice fiscale
E-mail
DATI SOCIETARI
In qualità di legale rappresentante della SOCIETÀ DITTA INDIVIDUALE ALTRO
Ragione sociale
Codice fiscale Partita IVA
Sede in Prov.
Via N.
CAP Tel. FAX/CELL.
E-mail PEC
CHIEDE
di autorizzare le targhe sotto elencate, relative ai seguenti veicoli superiori a mt. 7,50 di lunghezza
che devono accedere alla ZTL Cerchia dei Bastioni – Area C in quanto (barrare una sola casella) :
Veicoli diretti all'interno di cesate o aree delimitate di cantieri edili siti all’interno della Cerchia dei
Bastioni (allegare copia DIA o SCIA del cantiere)
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Veicoli operativi di enti, società, aziende esercenti pubblico servizio in materia di gas, energia
elettrica e termica, acqua, illuminazione, trasporti, telecomunicazioni, igiene ambientale e raccolta
rifiuti (allegare copia Contratto/Appalto con Ente pubblico)
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Veicoli adibiti al trasporto valori o servizi postale (allegare Visura Camerale aggiornata)
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Trasporto di materiale indivisibile (es. Opere d'Arte) - specificare la categoria merceologica: ______________
________________________________ (allegare copia Contratto/Appalto con Ente museale o altro)
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Trasporto di generi alimentari deperibili (allegare Copia contratto di fornitura con esercizio
commerciale)
La presente autorizzazione non esenta dal pagamento del ticket dell'Area C ad eccezione dei
veicoli elettrici.
Dichiaro di aver letto e compreso quanto indicato nell’informativa, nelle avvertenze e nelle prescrizioni di cui sopra.