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. <br /> REAL PROPERTY RECORDS FORM <br /> F'orin to be used for all executed conveyance documents and <br /> files to Records. <br /> *TAX ACCOUNT NO '��`t-�.�J�� <br /> *WORK ORDER NO �-�s� .�� <br /> *CONVEYANCE DATE • .,.Q <br /> *DEPARTMENT OHNERSHIP ��io�nPoi-i�y.� cy ►a�4-In /-oro K _ � l.- <br /> ORDINANCE NUMBER �_ � v �Ci.� �.� ;,,z�'.'�t� <br /> *G?2ANTEE ��1li�i('2I ��y(.,�N ✓-!- '���� <br /> �:..1�__Ctir' _.r, v Tf � <br /> ����_ <br /> *LEGAL DESCRIPTION <br /> SECTION _ �L}- (01 - 36) <br /> TOWNSHIP � (Z4 - 29) <br /> RANGE (04 - 08 <br /> 1/4 SECTION _ �. (N$-1, NW-2, SW-3 , SE-4) <br /> PROPERTY ADDRESS INFORMATION <br /> CLOSEST INTERSECTION 1,�/�, �']��11n `_4l� � � �-�� <br /> STREET NO — <br /> STREET NAME <br /> CITY 6`I �} e�r��r- � � � <br /> 2IP <br /> . le� l el��-iti l�r, . <br /> AUDITOR�S FILE NO R'�r�,-�7�,�f� <br /> PLAT NAME <br /> PLAT NO <br /> *LID NO <br /> •DEED TYpE �ACQOIgITION TYPE <br /> STATUTORY WARRppTy STWD dG� pUgCHpSE <br /> SPECIAL WARRANTY DEED SPWD ( ) CONDEM2dATIUN C�C ` � <br /> OTHERC�IM -��D � � FORECLOSURE •p� � � <br /> OTHR ( ) DONATION ON �� <br /> DEDICATION EU ( ) <br /> OTHER OTHR ( ) <br /> •EABEMENT TYpE �CONVEYANCE TYpg <br /> WATER 7p ( ) SALE <br /> SANITARY SEWER SS ( ) DONATION �� � � <br /> S��RMTDRAINAGE S�1 ( ) VACATION VACT ` , <br /> � ) <br /> PRIVATE UTILITY Spp � � OTHER pTHR ( ) <br /> GENE.PyG UTiLi7y OTHR � ) <br /> USE PERMIT , <br /> RIGHT OF ENTRY <br /> SPECIAL CONDITIONS TO TITLE <br /> NOTE: • e querY data <br />