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["事業計画概要書"]
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["設置主体","法人名"]
[null,"法人所在地"]
[null,"連絡先",null,null,null,"TEL",null,null,null,null,null,null,"FAX",null,null,null,null,null,null,"Email"]
[null,"法人種別",null,null,null,null,null,"社会福祉法人",null,null,null,null,null,"医療法人",null,null,null,null,"特定非営利活動法人"]
[null,null,null,null,null,null,null,"株式会社",null,null,null,null,null,"その他（",null,"（　　　　　　　　　　　　　　　）　　　　　　　"]
["事業所名（仮称）"]
["建設予定地",null,null,null,null,"(地番)",null,null,null,"武蔵野市"]
[null,null,null,null,null,"(住宅表示)",null,null,null,"武蔵野市"]
["敷地概要",null,null,null,null,"敷地面積",null,null,null,null,null,"㎡",null,null,null,null,null,"用途地域"]
[null,null,null,null,null,"建ぺい率",null,null,null,null,null,"％",null,null,null,null,null,"容積率",null,null,null,null,null,"％"]
[null,null,null,null,null,"土地所有\n権利形態"]
[null,null,null,null,null,null,null,null,null,null,null,"※借地(予定含む)の契約期間",null,null,null,null,null,null,null,"　　年　　月　　日\n　　　　～　　年　　月　　日"]
[null,null,null,null,null,"抵当権設定"]
["建物概要",null,null,null,null,"建物の状況"]
[null,null,null,null,null,null,null,null,null,null,null,"※新築の場合",null,null,null,null,null,"着工日",null,null,"　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,null,null,"※新築以外の場合",null,null,null,null,null,"竣工日",null,null,"　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,null,null,"建築基準法に基づく用途",null,null,null,null,null,null,null,"（　　　　　　　　　　　）"]
[null,null,null,null,null,"建物所有\n権利形態"]
[null,null,null,null,null,null,null,null,null,null,null,"※借家(予定含む)の契約期間",null,null,null,null,null,null,null,"　　年　　月　　日\n　　　　～　　年　　月　　日"]
[null,null,null,null,null,"構造",null,null,null,null,null,"　　　　　造",null,null,null,null,null,"地上　　階",null,null,null,null,null,"地下　　階"]
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[null,null,null,null,null,"開設予定",null,null,null,null,null,"　　年　　月　　日"]
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["（認知症高齢者グループホーム）"]
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[null,"常勤（人）",null,null,null,"人",null,null,null,"人",null,null,null,"人",null,null,null,"人",null,null,null,"人",null,null,null,"人"]
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[null,"常勤換算後の人数（人）",null,null,null,"人",null,null,null,"人",null,null,null,"人",null,null,null,"人",null,null,null,"人",null,null,null,"人"]
["職員について",null,null,null,null,"資格",null,null,null,"介護福祉士",null,null,null,null,"人",null,null,null,null,"看護士",null,null,null,null,"人"]
[null,null,null,null,null,null,null,null,null,"初任者研修修了者　　　　人　　その他　　　　人　資格なし　　　人"]
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[null,null,null,null,null,"その他の費用",null,null,null,null,null,"光熱水費",null,null,null,null,null,"円"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
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[]
[]
[]
[]
["バックアップ、協力連携体制の計画内容"]
[]
[]
[]
[]
["地域との連携体制の計画内容"]
[]
[]
[]
[]
["緊急時の対応計画"]