ࡱ> cZbjbjԚ4Z\Z\)pHpHUUUUUVVVV$4VVWWWWWXXXqssssss$<UXXXXXUUWWH;Y;Y;YX"UWUWq;YXq;Y;Y2͇W|3ʠ+Xf]^0JȏX^ȏ\͇ȏU͇;YXXX;YXXXXXXXȏXXXXXXXXXpHR T:Ustrzyki Dolne, .............................................. ...................................................................................... Imi i nazwisko/Nazwa, .................................................................................................... .................................................................................................... adres Wnioskodawcy Burmistrz Ustrzyk Dolnych ul. Kopernika 1 38-700 Ustrzyki Dolne W Z R Wniosek o realizacj zadania publicznego w trybie inicjatywy lokalnej Wnioskuj/emy o realizacj przedsiwzicia w trybie inicjatywy lokalnej, o ktrym mowa w uchwale z dnia 13 lipca 2017 r. Rady Miejskiej w Ustrzykach Dolnych Nr XXXV/458/17 w sprawie trybu i szczegBowych kryteriw oceny wnioskw o realizacj zadania publicznego w ramach inicjatywy lokalnej. 1. Nazwa i cel inicjatywy: Nazwa z opisem zadania wraz z okre[leniem obszaru dziaBalno[ci (okre[lonych w art.19b ustawy z dnia 24 kwietnia 2003 r. o dziaBalno[ci po|ytku publicznego i o wolontariacie (t.j. Dz. U. z2016 r. poz.1817 z pzn.zm.)), celu, wykonawcw, beneficjentw: ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ 2. Lokalizacja zadania: Opis miejsca/miejsc realizacji inicjatywy lokalnej (zaBczy szkic, map): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. 3. Wnioskowany termin realizacji zadania: ................................................................................................................................................................................................................................................................................................................ 4. Zakres rzeczowy zadania publicznego wraz ze stopniem przygotowania do realizacji na dzieD zBo|enia wniosku: ( m.in. opis poczynionych prace przygotowawczych, posiadane warunki techniczne, decyzje - prawomocne zgBoszenie lub pozwolenie na budow, dokumentacja) ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. 5. Kalkulacja przewidywanych kosztw zadania publicznego: Zrodki potrzebne do realizacji inicjatywy lokalnej ...........................................zB, (w przypadku zadaD inwestycyjnych kosztorys inwestorski, dla pozostaBych - kalkulacja kosztw) w tym: a) udziaB finansowy zadeklarowany przez Wnioskodawc & ............................. zB, b) wkBad rzeczowy ze strony Wnioskodawcy  (w przypadku pozostaBych zadaD) - opis i wycena warto[ci .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... c) wkBad pracy spoBecznej zadeklarowany przez Wnioskodawc  (dotyczy zadaD pozostaBych): " Bczna ilo[ osb & & ... " Bczna ilo[ zadeklarowanych godzin pracy spoBecznej & & & x stawka& & & & - warto[& & & & & ..zB - opis zadaD/czynno[ci, jakie maj by zrealizowane w ramach pracy spoBecznej: ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. UWAGA ! Suma warto[ci z pkt. a), b) i c) (caBkowity wkBad wBasny wnioskodawcy zadania) musi stanowi minimum 25% warto[ci caBego zadania. d) udziaB finansowy Gminy ( maksimum 75% warto[ci caBego zadania)& & & & & & & & zB,. w tym : ~ N P B D F H 8 J P R | ̺̗ރn[H[7 h ,hh* CJOJQJ^JaJ$h ,h"@CJOJQJ^JaJ$h ,h@0@CJOJQJ^JaJ)h ,h@056CJOJQJ]^JaJ&h ,h@05CJOJQJ\^JaJ h ,hpiCJOJQJ^JaJ#h ,h"5CJOJQJ^JaJ#h ,h@05CJOJQJ^JaJ#h ,hpi5CJOJQJ^JaJ h ,h@0CJOJQJ^JaJ h ,h"CJOJQJ^JaJ~. ^ (   P r B D H  B: !$`a$gd" !$a$gda !$ oa$gda !$ a$gdpi !$a$gda !$a$gd"  BTxyz{>*!,!d!f!"##%Z(*4/˸ަޕޕޕޕނޕަޕޕނނޕޕނނ$h ,h@0@CJOJQJ^JaJ h ,h"CJOJQJ^JaJ#h ,h@05CJOJQJ^JaJ$h ,h ,@CJOJQJ^JaJ$h ,h@0@CJOJQJ^JaJ h ,h@0CJOJQJ^JaJ h ,h ,CJOJQJ^JaJ+:Vyz+!,!f!g!##D$H$%\(^()F)))*6/$a$gda!gd" !$a$gda4/J0L0N000>?EEFLLM@MBMVMXM`MZkd$$If0M$\544 la]p!$$Ifa$gda !$a$gdawkBad rzeczowy niezbdny do wykonania inicjatywy lokalnej do przekazania przez Gmin dla Wnioskodawcy na podstawie odrbnej umowy (dotyczy zadaD pozostaBych): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. 6. Informacja o posiadanych finansowych [rodkach wBasnych oraz zasobach rzeczowych i kadrowych na realizacj zadania: ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ 7. Harmonogram realizacji inicjatywy lokalnej: Termin realizacji DziaBanie1. 1.2. 2.3. 3. & .. & & ................................................................................................................................................................................................................................................................................................................. 8. Uzasadnienie przydatno[ci inicjatywy dla spoBeczno[ci lokalnej: ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ 9. Szacunkowa liczba osb, ktrym sBu|y bdzie inicjatywa lokalna: ..................................................................................................................................................... & .................................................... 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