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["千葉市　　区",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(記載不要)"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（以下、記載不要）"]
["調査日時：",null,null,"令和",null,"年",null,"月",null,"日",null,"時",null,"分","調査員："]
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["②証票の種類・番号",null,null,null,null,null,"正",null,"・",null,"誤","（",null,null,null,null,null,null,null,null,"）"]
["③看板のサイズ",null,null,null,null,null,"規格内",null,"・",null,"規格外","（",null,null,null,null,null,null,null,null,"）"]
["④事務所の有無",null,null,null,null,null,"有",null,"・",null,"無","（",null,null,null,null,null,null,null,null,"）"]
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["遠景",null,null,null,null,null,null,null,null,null,"近景"]

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["政治活動用事務所の地図"]
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["千葉市　　区",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(記載不要)"]
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[null,null,null,null,null,null,null,null,null,null,null,"※「事務所」と「看板」の位置を示してください。"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（以下、記載不要）"]
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["①証票の有無",null,null,null,null,null,"有",null,"・",null,"無","（",null,null,null,null,null,null,null,null,"）"]
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["⑤その他備考",null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["遠景",null,null,null,null,null,null,null,null,null,"近景"]

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["政治活動用事務所の地図"]
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[null,null,null,null,null,null,null,null,null,null,null,"※「事務所」と「看板」の位置を示してください。"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（以下、記載不要）"]
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