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["（別紙３　様式第14号）"]
["番　　　号"]
["年　月　日"]
[]
[]
["北海道森林・山村多面的機能発揮対策協議会"]
["会長　庄子　康　殿"]
[]
[null,null,null,null,null,null,null,null,"活動組織名"]
[null,null,null,null,null,null,null,null,"代表者名　"]
[]
[]
["○年度　森林・山村多面的機能発揮対策交付金に係る採択変更申請書（届出書）"]
[]
["　〇年〇月〇日付け第〇号で採択通知のあった森林・山村多面的機能発揮対策交付金を変更したいので、森林・山村多面的機能発揮対策実施要領（平成25年５月16日25林整森第74号林野庁長官通知）別紙３の第５の６に基づき、下記のとおり採択の変更を申請する（届け出る)。"]
[]
[]
["記"]
[]
["１．活動組織名"]
[]
[]
["２．協定の対象となる森林の位置"]
[]
[]
[]
["３．森林・山村多面的機能発揮対策交付金"]
[]
["取組メニュー",null,null,null,"交付単価等",null,"森林面積等",null,"交付金額",null,"都道府県の　　　　　　　支援額",null,"市町村の　　　　　　　支援額",null,"計"]
["活動推進費",null,null,null,"112,500円",null,"初年度のみ",null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(I31:N31)","v":0}]
["地域環境保全タイプ（里山林保全）",null,null,null,null,null,"ha",null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,"120,000円/ha",null,null,null,{"$f":"G33*120000","v":0},null,null,null,null,null,{"$f":"I33+K33+M33","v":0}]
[null,null,null,null,"115,000円/ha",null,null,null,{"$f":"G34*115000","v":0},null,null,null,null,null,{"$f":"I34+K34+M34","v":0}]
[null,null,null,null,"110,000円/ha",null,null,null,{"$f":"G35*110000","v":0},null,null,null,null,null,{"$f":"I35+K35+M35","v":0}]
["地域環境保全タイプ（侵入竹除去・竹林整備）",null,null,null,null,null,"ha",null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,"285,000円/ha",null,null,null,{"$f":"G37*285000","v":0},null,null,null,null,null,{"$f":"I37+K37+M37","v":0}]
[null,null,null,null,"265,000円/ha",null,null,null,{"$f":"G38*265000","v":0},null,null,null,null,null,{"$f":"I38+K38+M38","v":0}]
[null,null,null,null,"245,000円/ha",null,null,null,{"$f":"G39*245000","v":0},null,null,null,null,null,{"$f":"I39+K39+M39","v":0}]
["森林資源利用タイプ",null,null,null,null,null,"ha",null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,"120,000円/ha",null,null,null,{"$f":"G41*120000","v":0},null,null,null,null,null,{"$f":"I41+K41+M41","v":0}]
[null,null,null,null,"115,000円/ha",null,null,null,{"$f":"G42*115000","v":0},null,null,null,null,null,{"$f":"I42+K42+M42","v":0}]
[null,null,null,null,"110,000円/ha",null,null,null,{"$f":"G43*110000","v":0},null,null,null,null,null,{"$f":"I43+K43+M43","v":0}]
["森林機能強化タイプ",null,null,null,"800円/ｍ",null,"ｍ",null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(I45:N46)","v":0}]
[]
["関係人口創出・維持タイプ",null,null,null,"50,000円",null,null,null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,"/年",null,null,null,null,null,null,null,null,null,{"$f":"SUM(I48:N48)","v":0}]
["小　計",null,null,null,null,null,null,null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,null,null,null,null,{"$f":"SUM(I31:J48)","v":0},null,{"$f":"SUM(K31:L48)","v":0},null,{"$f":"SUM(M31:N48)","v":0},null,{"$f":"SUM(O31:P48)","v":0}]
["資機材・施設の整備等",null,null,null,"1/2 以内",null,"円",null,"円",null,"円",null,"円",null,"円"]
[]
["資機材・施設の整備等（林内作業車、薪割り機、薪ストーブ又は炭焼き小屋等）",null,null,null,"1/3 以内",null,"円",null,"円",null,"円",null,"円",null,"円"]
[]
[]
[]
["計",null,null,null,null,null,null,null,"円",null,"円",null,"円",null,"円"]
[null,null,null,null,null,null,null,null,{"$f":"I50+I52+I54","v":0},null,{"$f":"K50+K52+K54","v":0},null,{"$f":"M50+M52+M54","v":0},null,{"$f":"O50+O52+O54","v":0}]
["間伐等（除伐、枝打ちを含む。）の実施面積",null,null,null,null,null,"ha"]
[]
["当該年度に長期にわたり手入れをしていなかったと考えられる里山林を整備する面積",null,null,null,null,null,"ha"]
[]
[]
[]
["（注）都道府県の支援額、市町村の支援額及び計については、申請時に都道府県や市町村から金額を聞いている場合等に記載すること。"]
[]
[]
["４．月別スケジュール"]
["取組内容",null,null,null,"４月","５月","６月","７月","８月","９月","10月","11月","12月","１月","２月","３月"]
["１．活動推進費"]
[]
["２．実践活動"]
["　A-1 地域環境保全タイプ（里山林保全）"]
[]
["　A-2 地域環境保全タイプ（侵入竹除去、竹林整備）"]
[]
["　B 森林資源利用タイプ"]
[]
["　C 森林機能強化タイプ"]
[]
["　D 関係人口創出・維持タイプ"]
[]
["３．資機材・施設の整備等"]
[]
[]
["５．安全講習等の名称及び内容"]
["講習の名称",null,null,null,"講習の内容",null,null,null,null,null,null,null,null,"実施月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月"]
["（注）安全講習等は、対象森林内で実施するものを記載すること。"]
[]
[]
["６．関係人口創出・維持タイプの活動内容"]
[]
[]
["７．計画変更の理由（減額の理由）"]
["　　※減額の場合は減額する金額も併せて記載すること。"]