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（调处机关）土地权属争议案件调解书


（首页）                                            （文号）

 

申请人：                                                   ；

法定代表人：        ；职务：    ；地址：                   ；

被申请人：                                                 ；

法定代表人：        ；职务：    ；地址：                   ；

因                                             一案，申请人与被申请人土地权属争议主要事实：                       

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

经调解双方达成如下协议：                               

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                            

                                                             

                                                          。

申请人：（签字或盖章）

  年    月    日

被申请人：（签字或盖章）

年    月    日

承办人：（签字）

      年    月    日

 

 

（国土资源行政主管部门章）

                                 年     月     日
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