Antrag auf Altlastenauskunft

Vorgangsnummer

Data Protection Information

We process your data in accordance with Articles 13 and 14 of the EU General Data Protection Regulation (EU-GDPR). You can learn more about data processing related to this form here: www.dresden.de/datenschutz

Consent to Data Processing

We process your data in accordance with Articles 13 and 14 of the EU General Data Protection Regulation (EU-GDPR). You can learn more about data processing related to this form here: www.dresden.de/datenschutz

I have read the privacy policy.*

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Angaben zur antragstellenden Person

Name*

Vorname*

Organisation

Address*

Postal Code*

City*

E-Mail*

Telefon

Anschrift

Address*

Postal Code*

City*

Gemarkung

Gemarkung*

Flurstück*

Grundstückseigentümer/-in

Name

First Name

Organisation

Address*

Postal Code*

City*

Bescheid- und Rechnungsadresse

Bescheidadresse ist abweichend von der antragstellenden Person?*

Ja

Nein

Address*

Postal Code*

City*

Rechnungsadresse ist abweichend von der antragstellenden Person?*

Ja

Nein

Address*

Postal Code*

City*

Bemerkungen

Zustellwunsch

per E-Mail

als Papierexemplar per Post

Bemerkungen*