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PEMERINTAH PROVINSI BALI

DINAS PEKERJAAN UMUM DAN PENATAAN RUANG

Jalan Beliton No. 2, Telp. 0361-222883, 228310 Fax. 0361-228311
DENPASAR – 80112

Denpasar, tanggal bulan dan tahun

Kepada
Nomor : Yth. Mmmmmmmmmmmmmmmmmmmmm
Sifat : mmmmmmmmmmmmmmmmmmmmm
Lampiran : mmmmmmmmmmmmmmmmmmmm
Hal : di
Denpasar

Mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmm :

Mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Kepala Dinas Pekerjaan Umum dan

Penataan Ruang Provinsi Bali

NAMA JELAS
Pangkat
NIP.

Tembusan Disampaikan Kepada Yth. :

1. .................................................................
2. .................................................................
3. ..................................................................

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PEMERINTAH PROVINSI BALI

DINAS PEKERJAAN UMUM DAN PENATAAN RUANG

Denpasar, tanggal bulan dan tahun

Kepala Dinas Pekerjaan Umum dan

Tembusan Disampaikan Kepada Yth. :

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