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渔业水域拆船污染纠纷裁决申请表单位名称/个人姓名法人代表/身份证号码XXXXXXXXXXXXXXXX联系人XXXXXXXXXXXXXXXXXXXX联系方式XXXXXXXXXXXXXXXXXXXXX申请裁决事项说明XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX县级渔业主管部门意见XXXXXXXXXXXXXXXXXXXXXXXXXXXX市级渔业主管部门意见XXXXXXXXXXXXXXXXXXXXXXXXXX省级渔业主管部门意见XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX