25号铁轮车、履带车和其他有损害公路的机具在公路行驶编号:[]字第号路政管理许可申请表申请单位(个人签章):xxxxxxxxxx申请时间:xxxx年xx月xx日受理单位:xxxxxxxxx(路政部门)许可申请栏申请人:xxxx地址:xxxxxxxxxx法人代表:xxxx电话:xxxxxxxxx联系人:xxxx地址:xxxxxxxxxxxx电话:xxxxxxxxx申请地点:xxxx道xxxxxxxxxxx线(路)xxxx公路xx米申请事由:xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
申请地点线路示意图(包括公里桩号及左、右侧位置):[注:如此栏不能完全满足时可另附图]申请事项具体内容:xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
[注:包括申请事项涉及公路及公路用地的地点、具体位置、时间、几何尺寸、本身的结构与属性等方面的要求,应以文字作详细具体的描述,此栏不能满足要求时可另附书面材料