KERTAS KERJA USULAN KEGIATAN 1 Lembar untuk

PRIORITAS KECAMATAN TAHUN 2020 1 Usulan

KECAMATAN ...................................................................
....
DIISI OLEH
KECAMATAN
1 Jenis : ....................................................................................................................................................................................
Kegiatan
....................................................................................................................................................................................
2 Perangkat : ....................................................................................................................................................................................
Daerah
....................................................................................................................................................................................
3 Bidang  Bidang Prasarana Wilayah Dan Penataan Ruang
Kegiatan  Bidang Ekonomi
 Bidang Sosial Budaya
4 Lokasi : RT / RW / Dusun.........................................................................................................................................................
Keg.
....................................................................................................................................................................................
5 Keluaran : ....................................................................................................................................................................................
/ Volume ....................................................................................................................................................................................
6 Penerima : Nama Kelompok: …………………………………………………………………………………………………………………………………………………
Manfaat
Nomor BHI : …………………………………………………………………………………………………………………………………………………
7 Manfaat : ....................................................................................................................................................................................
Kegiatan ....................................................................................................................................................................................
8 Usulan : Rp. ...........................................................
Anggaran
DIISI OLEH
KECAMATAN
Camat
................................

(....................................)
DIISI OLEH
BAPPEDA
Bappeda
9 Catatan Bappeda : ..............................................................................................................
.............................................................................................................. ............................
..............................................................................................................

(....................................)

PETA SITUASI LOKASI DAN FOTO KONDISI

EKSISTING
Catatan: Peta situasi dan foto kondisi eksisting dapat menggunakan lembar lain apabila diperlukan