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2. Член с ПСГ ...........................................................................................................
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3. Наблюдатель ...................................................................................................
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4. Наблюдатель ...................................................................................................
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Автомобиль или пешком. Если авто, то № и марка:
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Количество заявлений: ................................................................................
Адрес (согласно выписке из реестра): ............................................
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