土地违法案件询问笔录_行政法律

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    询问时间_________年_________月________日________时
    询问地点:________________________________________
    询问人:__________  记录人:______________________
    被询问人:________  性别:___________  年龄:_____
    政治面貌:________  文化程度:________ 民族:_____
    单位及职务:______________________________________
    住址及电话:______________________________________
    询问主要内容:________________________________________________________________________________
    询问记录   
    ______________________________________________________________________________________________
    ______________________________________________________________________________________________
    ______________________________________________________________________________________________
    ______________________________________________________________________________________________
    询问人签名:_________(盖章)
    被询问人签名:_______(盖章)
    记录人签名:_________(盖章)