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[null,null,"（様式２）"]
[]
["認定登記基準点使用報告書"]
[]
[null,null,"年　　月　　日"]
[]
["　　　　　　　　　　　様"]
[]
[null,null,"　　　　　　　　　　報告者　住　所"]
[null,null,"　　　　　　　　　　　　　　名　称"]
[null,null,"　　　　　　　　　　　　　　担当者氏名"]
[]
["認定登記基準点の使用結果について、下記のとおり報告します。"]
[]
["使　用　目　的"]
["使　用　期　間",null,"　　　　年　　月　　日から"]
[null,null,"　　　　　　　　　　　年　　月　　日まで　　（　　　日間）"]
["測　量　地　域"]
["使用した"]
["認定登記基準点",null,"計　　　点"]
["使用承認番号",null,"　第　　　　　号"]
["使用者","名　　　称"]
[null,"担当者氏名"]
[null,"所　在　地"]
[null,null,"　　　　　　　　　　　　　　　TEL"]
["使　用　結　果　（精　度）",null,"　No.　　　　　～No.　　　　　相対精度1："]
[null,null,"　No.　　　　　～No.　　　　　相対精度1："]
[null,null,"　No.　　　　　～No.　　　　　相対精度1："]
[null,null,"　No.　　　　　～No.　　　　　相対精度1："]
[null,null,"　No.　　　　　～No.　　　　　相対精度1："]
["特　記　事　項",null,"（故障点、異常点の状況を記載）"]

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