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Formulir Permohonan Kantah Bantul
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Tanggal Permohan *
MM
/
DD
/
YYYY
Jenis Permohonan *
Lokasi Objek Bidang Tanah *
Padukuhan *
Kecamatan (Objek Bidang Tanah) *
Kalurahan (Objek Bidang Tanah) *
No Letter C *
Letter C diisi Nomor Letter C, Persil dan Kelas  (Contoh: Letter C.925 Persil S12 Kelas IV)
NIB. *
Status Tanah *
Luas (Objek Bidang Tanah) *
Penggunaan Tanah *
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