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Ordinance supporter system application documents about restrictions on smoking on the streets

Updated: March 11, 2020

PDF format

You can download the application form and activity report in PDF format. Please print it out and use it.
Note: Plain paper is recommended for print paper, and A4 is recommended for print size.

File Download Opens in a new window.Application (Form No. 1) (PDF: 77KB)

File Download Opens in a new window.Activity Report (Form No. 4) (PDF: 50KB)

Word format

You can download the application form and activity report in Word format. Please print it out and use it.
Note: Plain paper is recommended for print paper, and A4 is recommended for print size.

File Download Opens in a new window.Application Form (Form No. 1) (Word: 16KB)

File Download Opens in a new window.Activity Report (Form No. 4) (Word: 16KB)

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If you don't have it, you can download it for free from Adobe.
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Inquiries about this page

Inagi City Urban Environment Development Department Living Environment Division
2111 Higashi Naganuma, Inagi City
Phone: 042-378-2111 Fax: 042-377-4781

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Inagi city official mascot Nashinosuke Inagi

Inagi City Hall

2111 Higashi Naganuma, Inagi City, Tokyo 206-8601
Open agency hours: 8:30 a.m. to 5:00 p.m. Main phone number: 042-378-2111 Fax: 042-377-4781
Copyright (C) Inagi City. All rights reserved.
Copyright （C）K.Okawara・Jet Inoue. All rights reserved.
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