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' REAL PROPERTY RECORDS FORM <br /> Form to be used for' all executed conveyance documents and <br /> files to Records. • <br /> *TAX ACCOUNT NO 5379�dab - 433 ��3 <br /> *WORK ORDER NO /to2-2�9f� ' <br /> *CONVEYANCE DATE �Z-O/- 45 <br /> *DEPARTMENT OWNERSHIP�/p/ <br /> ORDINANCE NiJMBER �//�q <br /> *GRANTOR ��Yr�yrM� BLLES AtSnn 5 � G/TY RAiV✓ <br /> *GRANTEE �p� <br /> *LEGAI, DESCRIPTION <br /> SECTION 2g (01 - 36) <br /> TOWNSHIP ' � (24 - 29) <br /> RANGE D y (04 - OS) <br /> 1/4 SECTION � (NE-1, NW-2, SW-3 , SE-4) <br /> PROPERTY ADDRESS INFORMATION . / <br /> CLOSEST INTERSECTION _//2�SY�l�I � i,✓E�E�D IVy � <br /> STREET NO ��1e� <br /> S�� N� ,��.,�E�� wy <br /> CITY �✓�,�� <br /> Z1P 9Bzd�/ <br /> AUDITOR'S FZLE NO <br /> PLAT NAME ����.�� AAD n Z <br /> PLAT NO <br /> *LID NO �j(�� <br /> •DEED TYPE *ACQIIISITION TYPE <br /> • STATUTORY WARRANTY STWD (j( ) PURCHASE PURC ( ) <br /> SP,ECIAL WARRANTY DEED SPWD ( ) CONDEMt1ATI0N COND. ( ) <br /> QIIIT CLAIM �D ( ). FOR�CLOSIIRE • gORC �'( � :`• <br /> OT�R ' OTHR' ( ) DONATION � DONA ( ) � <br /> � DEDICATION DEDI (X ) <br /> OTHER OTA ( ) <br /> •EASEMENT TYPE �CONVEYANCE TYPE <br /> WATER H20 ( ) SALE SALE ( ) � <br /> SANITARY SEWER SS ( ) DONATION DONA. ( ) <br /> STORM DRAINAGE SD ( ) VACATION VACT ( ) <br /> � � ) <br /> PRIVATE UTILITY SpU ( � �THER OT . <br /> OTHER OTHP, ( ) <br /> USE PERMIT <br /> R_TGHT OF ENTRY yt-S <br /> SPECIAL CONDITIONS TO TITLE Q/w� � SGdPCS <br /> NOTE: * = qvery data <br /> � <br />