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. REAL FP.OPERTY RECORDS FORM <br /> Form to be used for' all executed conveyance documents and 1 • <br /> f iles to Records. <br /> *TAX ACCOUNT NO ,�379 dad � 4�� '��� ' � ` <br /> *WORK ORDER NO ,1�02-Z�9Y <br /> *CONVEYANCE DATE 01'd/- 45 <br /> *DEPARTMENT OWNERSHIP <br /> ORDINANCE NUMHER �/A . <br /> *GRANTOR <br /> a a .rt aecn�a }� GlTy QAyA' <br /> *GRANTEE <br /> *LEGAL DESCRIPTION 01 _ 36) <br /> SECTION �3 — �Z4 _ Z9� <br /> TOWNSHIP ' Zq (04 - �8) <br /> RANGE �-y--- (NE-1� N47-2� SW-3 , SE-4) <br /> 1/4 SECTION �!/ <br /> PROPERTY ADDRESS INFORMATION � <br /> CIASEST INTERSECTION Z�SrsNt � <br /> STREET NO �e��), <br /> STREET NAME r �j�`� <br /> CITY AA�A y <br /> ZIP <br /> AUDITOR�S FILE NO S ZZ <br /> PLAT NAME ow�c,E�iFih i A� o � - <br /> pLAT NO 531,�- <br /> *LID NO „�//9�— <br /> *ACQIIISITION TYYE <br /> *DEED TYPE ptJgCHASE P�� � � <br /> STATUTORY WA22RANTY S wD � � CONDENIIIATION ��.,,� � ,� <br /> SP,ECIAL WARRANTY DEED S� ` � FOR�CLOSURE • FO C ( � • ' . <br /> QIIIT CLAY23 �T�. � � DONATION � DON ( ) <br /> O�R � DEDICATION D� � � <br /> OTHER ��T � ) <br /> *EA3EMEN'1' T�E *CONVEYANCE TYPE <br /> �.� � ) � � ) <br /> SALE <br /> WATER DONATION DON ( ) <br /> SANITARY SEWEIt SS ( ) VACATION VACT ( ) <br /> STORM DRA=NAGE S R � X; OTHER OTHR O ' <br /> STREET <br /> PRIVATE U'CIL=TY PU � � <br /> OTHER OTHR ( ) <br /> USE PERMIT <br /> RIGFiT OF ENTRY � S <br /> SPECIAL CONDITIONS TO TITLE <br /> NOTE: * = query data � '� <br />