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SARAN DAN TANGGAPAN STUDI AMDAL

I. IDENTITAS RESPONDEN

1. Nama Responden :

2. Jenis Kelamin : Laki-laki / Perempuan

3. Umur :

4. Agama :

5. Alamat Responden/HP :

6. Pendidikan Terakhir :

7. Pekerjaan :

Pendapat/saran/harapan saudara dengan adanya Rencana Kegiatan Pembangunan.


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Tanda Tangan

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