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REAL PROPERTY RECORDS FORM <br />Form to be used for all executed conve��nce documents and <br />files to Records. � <br />.p-��J <br />*TAX ACCOUNT NO �Z� _D¢%-GYJ9�I/U• OF-ii/OClJ /DUn''.?.O•l.!/•) <br />*WORK ORDER NO /g� <br />*CONVEYANCE DATE �,�y�-�� r,"�, <br />*DEPARTMENT OWNERSHIP� y/ <br />ORDINANCE NUMBER <br />*GRANTOR <br />*GRANTEE <br />*LEGAL DESCRIPTION <br />SECTION �¢ (O1 - 36) <br />TOWNSHIP Z$ (24 - 29) <br />RANGE �¢ (04 - OS) <br />1/4 SECTION � (NE-1, NW-2, SW-3, SE-4) <br />PROPERTY ADDRESS INFORMATION <br />CLOSEST INTERSECTION. �'_71/�q�/� u/ESTE/Q�i�ST. s• !?� <br />STREET NO /DUDS <br />STREET NAME ¢ �dE. l,(/. <br />cITY �1�ERE7T <br />Z=P 9r9ZD¢ <br />AUDITOR'S FILE NO �1�03D903G�i,�' �u�^`�� �`��'1�} �-�4����'�`��� <br />PLAT NAME _,.j/A �1i'�� �(1'1..��:•.{� `,7t'����i%--'1C1 <br />PLAT NO �/A. <br />*LID NO <br />•DEED TYPE <br />STATUTORY WARRANTY STWD L� <br />SPECIAL WARRANTY DEED SPWD ( ) <br />'' QUIT CLAIM OCD ( ) <br />OTHER OTHR ( ) <br />•EABEMENT TYPE <br />WATER H20 ( ) <br />SANITARY SEWER SS ( ) <br />STORM DRAINAGE SD ( ) <br />STREET SSR ( ) <br />PRIVATE UTZLITY PU ( ) <br />OTHER OTHR ( ) <br />USE PERMIT <br />RIGHT OF ENTRY <br />SPECIAL CONDITIONS TO TITLE <br />NOTE: • = query daca <br />*'ACQIIISITION TYPE <br />PURCHASE PURC <br />CONDEMNATION COND <br />FORECLOSURE YORC <br />DONATION DONA <br />DEDICATION DEDI <br />OTHER OTHR <br />*CONVEYANCE <br />SALE <br />DONATION <br />VACATION <br />OTHER <br />TYPE <br />SALE ( ) <br />DONA ( ) <br />VACT ( ) <br />OTHR ( ) <br />