Právní předpis byl sestaven k datu 16.12.2025.
Zobrazené znění právního předpisu je účinné od 01.01.2002.
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2. xxxxxx xxxxxxx x xxxxxxx meteorologických xxxxxxx (xxxx. xxxxxxxxx) xxxxxxxxx x xxxxxxxxxx x síti xxxxxxxxxxxx xxxxxx,
3. xxxxxxx vody xx xxxxxxx xxxxxx x síti xxxxxxxxxxx xxxxxx,
4. hladin xxxxxxxxxx xxx v xxxx xxxxxxx xxxxxxxxxx xxx,
5. xxxxxxxxxx xxxxxxx x xxxx xxxxxxxxxxx pramenů;
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Xxxxxx xxxxx - xxxxx xxxxxxxxxxxxx:
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Xxxxx xxxxxxxx číslo xxxxx xxxx
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Xxxxx hydrologického xxxxxx
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Xxxxxxxxxxxxxxx xxxxx
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Xxxxx / Xxxx / Katastrální xxxxx
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Xxxxx / Xxx / Xxxxxxxx xxxxxxxx zařízení x x/x
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Xxxxxx x xxxxxxxxx platného xxxxxxxxxx o stanovení xxxxxxxxxx xxxxx xxxxxxx xxxxxx
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e-mail:
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e-mailová adresa xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx a podpis: xxxxxxx povinného subjektu, xxxxxxxx provozovatele x xxxxxx xxxxxxxxxxx pracovníka.
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XXX XXX 9297 (75 7420), XXX 830520-11
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1
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Xxxxxxxxxxxxx xxxxx odběru xxxxxxxxx xxxx
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02
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Xxxxx maticové číslo xxxxx xxxx
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Xxxxx xxxxxx xx xxxxx xxxx
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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V xxxxxxx se xxxxxxx xxxxx xxxx k xxxxxxxxxx místa odběru
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Vyřizuje:
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Datum:
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Telefon:
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Razítko x podpis:
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Fax:
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e-mail:
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rok**)
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II
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III
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IV
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VI
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VII
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VIII
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IX
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X
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XI
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celkem
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Xxxxxxxx:
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- xxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxxxx:
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- xxxxx telefonu xxxxxxxxxxx pracovníka;
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Fax:
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- číslo xxxx odpovědného pracovníka;
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e-mail:
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e-mailová xxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx tiskopisu;
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Xxxxx strana tiskopisu
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xxxxxxx vody
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ČSN 75&xxxx;7342
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xX
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xxxxxx xxxx
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XXX ISO 10523 (75&xxxx;7365)
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xxxxxxxxxxxx
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XXX XX 27888
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XXX5
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xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx
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XXX XX 1899 (75&xxxx;7517)
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XXXXXx
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xxxxxxxx spotřeba kyslíku xxxxxxxxxxx
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XXX 830530-29
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X-XX4-
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xxxxxxxxxxx xxxxx
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XXX XXX 7150-1,2 (75&xxxx;7451)
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XXX XXX 5664 (75 7449)
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ČSN XXX 6778 (75&xxxx;7450)
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X-XX3-
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xxxxxxxxxxx xxxxx
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XXX XXX 7890-1,2,3 (75&xxxx;7453)
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Xxxxx
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xxxxxxx fosfor
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ČSN XX 1189 (75&xxxx;7465)
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ROK XXXX
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Xxxxxxxxxx vody -
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název xxxxxxxxxx:
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xxxxx vypouštění:
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druh ekonomické xxxxxxxx:
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Xxxxxx pobyt - xxxxx povinného subjektu
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Trvalý xxxxx - sídlo xxxxxxxxxxxxx:
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XX:
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XX:
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XXXX:
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XXXX:
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01
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Xxxxxxxxxxxxx xxxxx xxxxxxxxxx xxxx
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02
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Xxxxx xxxxxxxx xxxxx xxxxx xxxx
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Xxxxx xxxxxx xx xxxxx xxxx
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03
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Xxxxx xxxxxxxxxxxxxx xxxxxx
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04
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Xxxxx xxxxxxx xxxx
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05
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Xxxxx kilometr
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06
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Břeh
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Levý
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Střed
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Pravý
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07
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Okres/Obec/Katastrální xxxxx
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08
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Xxxxxx xxxxxxxxx xxxxxxxx vypouštěných xxx
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xxxxxx
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xxxxxxx
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xxxxxxxx
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xxxxx
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09
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Xxxxxx stanovení hodnot xxxxxxx xxxxxxxxxxxx vod
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měření
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výpočet
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odhad
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10
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Typ xxxxxxx / Xxxxx xxxxxxx
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X
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X2
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X8
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X24
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X24x
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&xxxx; | |||||
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11
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Xxxxxxxx xxxxxxxxx xxx
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Xxx/Xx
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Xxxxxxxxxx xxxxxxx odpadních vod
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Ano/Ne
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12
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Ostatní xxxxx čištění xxxxxxxxx xxx (xxxxxx xxxxxx)
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13
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Xxxxxxxxxx x xxxxxxxx x xxxxxxxxxx xxx
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| &xxxx; |
xxxxx:
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xxx:
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| &xxxx; |
xxx x.x.:
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xxxxxxxx xx:
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| &xxxx; |
x množství:
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v xxxxxxx:
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| &xxxx; |
_________________xxx. x/x
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XXX5 xxxxxxx "x" "x"
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XXXXXx xxxxxxx "p" "x"
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| &xxxx; |
_________________xxx.x3/xxx
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_________xx/x
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_________
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___________
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xx/x
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| &xxxx; |
_________________xxx.x3/xxx
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_________x/xxx
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_________
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___________
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x/xxx
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14
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Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxx vod
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Ano/Ne
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15
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V xxxxxxx xx předává xxxxx xxxx k xxxxxxxxxx xxxxx x vypouštění
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Ano/Ne
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||||||||||
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Vyřizuje:
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Datum:
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Telefon:
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Razítko x xxxxxx:
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Xxx:
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x-xxxx:
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Xxxxxxxxxxxxx číslo
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vypouštění xxx
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| &xxxx; |
xxx **)
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X
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XX
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XXX
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XX
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X
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XX
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XXX
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XXXX
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XX
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X
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XX
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XXX
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xxxxxx
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16
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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17
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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18
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xxxxxx 5 xxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
xxx **)
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X
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XX
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XXX
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XX
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X
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XX
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XXX
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XXXX
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XX
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X
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XX
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XXX
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xxxxxx
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19
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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rok **)
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XXX5
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XXXXXx
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XX
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XXX
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X-XX4+
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Xxxxxx
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Xxxxx
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20
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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21
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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22
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xxxxxx 5 let
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| &xxxx; | &xxxx; |
XXX5
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XXXXXx
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XX
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XXX
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X-XX4+
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Xxxxxx
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Xxxxx
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| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; |
XXX5
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XXXXXx
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XX
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XXX
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X-XX4+
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Xxxxxx
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Xxxxx
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| &xxxx; |
XXXXXXXXXX XXXXX
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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23
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Xxxxxxxxxx xxxxxxxxxx x&xxxx;x/xxx xxx xxxxxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
(xxxx. xx/x x tis. x3/xxx) / 1000
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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24
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Xxxxxxxxxxx xxxxxxxxxx x&xxxx;x/xxx dle xxxxxx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; |
(xxxx. xx/x x xxx. m3/rok) / 1000
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
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25
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Xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxx
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Xxx kanalizace
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jednotná
|
oddílná
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jiná
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|||
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chladící vody
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chladící xxxx
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xxxxxxx bez
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kanalizace xxx
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xxxxx
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xxxxxxx
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xxxxxx
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| &xxxx; |
x xxxxxxxxxx
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x cirkulačního
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chladících
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veřejnou
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vody
|
|
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chlazení
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chlazení
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vod
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potřebu
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|
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26
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povrchová
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podzemní
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veřejný
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minerální
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důlní
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jiný
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celkem
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voda
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voda
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vodovod
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voda
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voda
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původ
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27
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**) xxxxxx správce xxxxxx
Xxxxx xxxxxx xxxxxxxxx
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Xxxxxxxx:
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- xxxxx xxxxxxxxxxx pracovníka;
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Telefon:
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- xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxxxxx;
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Xxx:
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- xxxxx faxu xxxxxxxxxxx xxxxxxxxxx;
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x-xxxx:
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x-xxxxxxx xxxxxx odpovědného xxxxxxxxxx;
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Xxxxx:
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xxxxx xxxxxxxx tiskopisu;
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XXX5
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xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxx s xxxxxxxxxx xxxxxxxxxxx
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XXX XX 1899-1,2 (75&xxxx;7517)
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XXXXXx
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xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxxxxx
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XXX 830540-8
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XX.
|
xxxxxxxxxxxx xxxxx
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XXX XX 872 (75 7349)
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RAS.
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rozpuštěné xxxxxxxxxxx xxxx
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XXX 830540-3B
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N-NH4-
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amoniakální xxxxx
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XXX ISO 5664, 7150-1
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Xxxxxx
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xxxxxxx xxxxxxxxxxx xxxxx
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xxxxxxxxxx xxxx součet xxxxxxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxxxxxxxx,
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xxxxxx
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xxxxxxxxxxxx, xxxxxxxxxxx xxxxx XXX XX 26&xxxx;777 (830540-11) x xxxxxx
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xxxxxxxxxxxxx, stanoveného xxxxx XXX XXX 7890-3 (830540-12)
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Xxxxx
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xxxxxxx xxxxxx
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XXX XX 1189 (75&xxxx;7465)
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&xxxx;
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XXX XXXX
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|
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Xxxxxxxxx nebo akumulace
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název xxxxxxx díla:
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povrchové xxxx
|
xxxxx xxx:
|
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xxxx xxxxxxxxxx xxxxxxxx:
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|
|
Xxxxxx xxxxx - sídlo xxxxxxxxx subjektu
|
Trvalý xxxxx - xxxxx xxxxxxxxxxxxx:
|
|
XX:
|
XX:
|
|
XXXX:
|
XXXX:
|
|
01
|
Xxxxxxxxxxxxx xxxxx xxxxxxx xxxx
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|||
|
02
|
Xxxxx xxxxxxxx xxxxx úseku xxxx
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Xxxxx xxxxxx na xxxxx toku
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||
|
03
|
Číslo xxxxxxxxxxxxxx xxxxxx
|
|||
|
04
|
Xxxxx xxxxxxx xxxx
|
|||
|
05
|
Xxxxx xxxxxxxx
|
|||
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06
|
Xxxxx/Xxxx/Xxxxxxxxxxx xxxxx
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|||
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07
|
Xxxxxxxxxxxx data:
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Qa = m3/s
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MQ = x3/x
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XXX = m3/s
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Charakteristiky xxxxxxx xxxx:
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Xxxx xxxxxxx (x n.m.)
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Objem (mil. x3):
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Xxxxx. xxxxxx (xx):
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08
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Xxxxx xxxxxxx:
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|||
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09
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Xxxxxxx prostor:
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|||
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10
|
Celkový xxxxxxxxxxx xxxxxxx:
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|||
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11
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Xxxxxxxxxx x xxxxxxxx x xxxxxxxxx x xxxxxx xx xxxxxx xxxx:
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|||
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xxxxx:
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xxx:
|
|||
|
xxx č.j.:
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||||
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12
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Rozhodnutí o xxxxxxxxx Xxxxxxxxxxxxx xxxx:
|
|||
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xxxxx:
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xxx:
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|||
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xxx x.x.:
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||||
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13
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Xxxxxx o přiložení xxxxxxxx xxxxxxxxxx x xxxxxxxx x nakládání x xxxxxx xx xxxxxx xxxx
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Xxx/Xx
|
||
|
14
|
Xxxxxx x xxxxxxxxx xxxxxxxx xxxxxxxxxx x xxxxxxxxx Manipulačního xxxx
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Xxx/Xx
|
||
|
Xxxxxxxx:
|
Xxxxx:
|
|
Xxxxxxx:
|
Xxxxxxx x xxxxxx:
|
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Xxx:
|
|
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x-xxxx:
|
|
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Xxxxxxxxxxxxx xxxxx
|
|
|
xxxxxxx xxxx
|
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| &xxxx; |
Xxxxx
|
xxxxxxxx
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1.1.
|
1.2.
|
1.3.
|
1.4.
|
1.5.
|
1.6.
|
1.7.
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1.8.
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1.9.
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1.10.
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1.11.
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1.12.
|
1.1.
|
|
15
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Xxxx xxxxxxx
|
x x.x.
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
16
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Xxxxx xxxxxx xxxx
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xxx. x3
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
17
|
Xxxxxxxx xxxxxx
|
xx
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&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
Xxxxxxxx:
|
- xxxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxxxxxx:
|
- xxxxx telefonu xxxxxxxxxxx xxxxxxxxxx;
|
|
Xxx:
|
- xxxxx xxxx xxxxxxxxxxx xxxxxxxxxx;
|
|
x-xxxx:
|
x-xxxxxxx xxxxxx xxxxxxxxxxx pracovníka;
|
|
Datum:
|
datum vyplnění xxxxxxxxx;
|
|
xxxxxxxx xxxxxxxxx vody (mil. x3/xxx)
|
xxxxxxx xxxxxx xxxxxxx
|
|
xxx 10
|
1x za 14 xxx (2x za xxxxx)
|
|
0,5 - 10
|
1x xx xxxxx
|
|
0,1 - 0,5
|
1x xx 2 xxxxxx
|
|
xxx 0,1
|
1x xx xxxxxxxx
|