文档介绍：新版动物防疫条件合格证明申请表
of rural drinking water sources, protection of drinking water sources in rural areas by the end □
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〔养殖小区〕 □
〔厂〕 □
〔厂〕 □
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□
所
附
材
料
清
单
□
2．场所地理位置图、各功能区布局平面图 □
〔特别是防疫设施设备清单及其功能说明资料〕 □
〔特别是防疫制度文本等材料〕 □
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、资质和健康证明复印件等资料 □
〔选附：当地乡镇〔街道〕兽医站出具的文字材料□、乡镇政府提供的文字材料□；县级以上环保部门环境评价材料□〕
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities- 2 -
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
所属乡镇街道兽医站意见
〔对申报材料进行初审，对现场进行查勘，是否同意申报办证〕
意见：该场所动物防疫条件符合情况：符合□ 不符合□。
是否同意办理?动物防疫条件合格证?：同意□ 不同意□。
理由：
审核人〔签字〕：
乡镇街道兽医站公章：
年 月 日
所属乡镇街道政府意见
〔是否符合养殖区域划分规定，是否同意乡镇街道兽医站意见〕
意见：该场所位于我镇〔乡、街道〕的非规划区□、规划区□; 适养区□、
限养区□、禁养区□。
是否同意乡镇街道兽医站意见：同意□ 不同意□。
是否同意该场所建设〔经营〕： 同意□ 不同意□。
审核人〔签字〕：
乡镇街道政府公章：
年 月 日
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isola