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案由：______________________________________________
讨论时间：______________ 讨论地点：______________
讨论内容：__________________________________________
主持人：__________ 承办人：________ 记录人：______
出席人员姓名及职务：________________________________
列席人员姓名及职务：________________________________
发言记录
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最后认定的事实、性质及处理意见
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（包括行政处罚、行政处分、土地犯罪移送等意见）
签名：__________