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　　案由：______________________________________________
　　讨论时间：______________    讨论地点：______________
　　讨论内容：__________________________________________
　　主持人：__________  承办人：________  记录人：______
　　出席人员姓名及职务：________________________________
　　列席人员姓名及职务：________________________________

　　发言记录   

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　  最后认定的事实、性质及处理意见   

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    （包括行政处罚、行政处分、土地犯罪移送等意见）

　　签名：__________