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["                   Gemeinde Samnaun",null,null,null,null,null,null,null,null,null,null,null,null,"Tel.  081 / 861 83 00"]
["                   7562 Samnaun-Compatsch",null,null,null,null,null,null,null,null,null,null,null,null,"Fax. 081 / 861 83 09"]
[]
["GESUCH"]
[]
["für die Bewilligung eines Gastwirtschaftsbetriebes bzw. Festwirtschaft"]
[]
["Betriebsname / Veranstalter",null,null,null,null," Strasse und Nr.",null,null,null,null,null," PLZ und Ort"]
[]
[" Angaben über den Betrieb"]
["  bitte ankreuzen",null,null,null,null,null,null,null,null,null,"Flächenangaben",null,null,null,"Anzahl"]
[null,null,null,null,null,null,null,null,null,null,"Restaurant",null,"Speisesaal",null,"Betten"]
[]
[null,"Allfällige Nebenbetriebe (z.B. Kiosk, Terrasse, Schirmbar, etc.)",null,null,null,null,null,null,null,null,null,"      wenn ja, welche"]
[null,null,null,null,null,null,null,null,null,null,"Flächenangaben",null,null,null,"Anzahl"]
[null,null,null,null,null,null,null,null,null,null,"Restaurant",null,"Speisesaal",null,"Betten"]
[null,null,null,null,null,null,null,null,null,null,null,null,"XXXXXXX m²",null,"XXXXXXX"]
[null,"Allfällige Nebenbetriebe (z.B. Kiosk, Terrasse, Schirmbar, etc.)",null,null,null,null,null,null,null,null,null,"      wenn ja, welche"]
[null,null,null,null,null,null,null,null,null,null,"Flächenangaben",null,null,null,"Anzahl"]
[null,null,null,null,null,null,null,null,null,null,"Restaurant",null,"Speisesaal",null,"Betten"]
[null,null,null,null,null,null,null,null,null,null,"XXXXXXX m²",null,"XXXXXXX m²"]
[null,null,null,null,null,null,null,null,null,null,"Grössenangaben",null,null,null,"Anzahl"]
[null,null,null,null,null,null,null,null,null,null,"Fläche",null,"Sitzplätze",null,"Betten"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"XXXXXXX"]
[]
["Personalien des verantwortlichen Bewilligungsinhabers"]
[" Name",null,null,null,null," Vorname",null,null,null,null,"Geburtsdatum",null," Wohnort"]
[]
[]
["Dauer der Bewilligung                         "]
["Eröffnungsdatum:",null,null,null,null,null,null,null,null,null," Entscheid der Behörde"]
["bitte ankreuzen",null,null,null,null,"Öffnungszeiten",null,null,null,null,"leer lassen"]
[]
[null,null,null,null,null,"von:",null,null,"Uhr",null," Genehmigt:",null,null,"_______________"]
[]
[null,null,null,null,null,"bis:",null,null,"Uhr",null," Visum:",null,null,"_______________"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"Datum:"]
[]
["Dem Gesuch ist ein Strafregisterauszug neuesten Datums beizulegen."]
[]
[]
["Ich bestätige die Richtigkeit der in diesem Formular gemachten Angaben, zudem bin ich von den einschlägigen Bestim- mungen der kommunalen und kantonalen Gastwirtschaftsgesetzgebung in Kenntnis gesetzt."]
[]
["Ort und Datum:"]
["Unterschrift des Gesuchstellers: __________________________________"]
[]
[]
[]
["Das vollständig ausgefüllte Gesuchsformular ist umgehend der Gemeinde Samnaun zuzustellen."]