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^/ I <br />REI�L PROPGRTY RBCORDS FURM /V '�'2 ��i l <br />Form to be used for all executed conveyance documents and <br />files to Records. � <br />*TAX ACCOUNT NO ��,�L� -I ��� -�� <br />*WORK ORDER NO <br />*CONVEYANCE DATE Fj �'�� U' , G• � <br />*DEPARTMENT OWNERSHIP - 1 CY1�1Q-��l IC ...EYVCY'-� <br />ORDZNANCE NUMBER � � )__ <br />*GRANTOR <br />*GRANTEE <br />*LEGAL DESCRIPTION <br />SECTION � (O1 - 36) <br />TOWNSHIP t;l�� (24 - 29) <br />RANGE ,4 (04 - OS) <br />1/4 SECTION � (NE-1, NW-2, SW-3, SE-4) <br />PROPERTY ADDRESS INFORMATION�'I 1 'I' I <br />CLOSEST INTERSECTION �i�l �Ue/ 4�'q� I��71 �� �-�/ <br />STREET NO '''� ' <br />STR�ET NAME J• <br />CITY L-�� ' <br />ZIP � �" <br />AUDITOR'S FILE NO �(��JI���'-I <br />PLAT NAME <br />PLAT NO <br />*LID No - — <br />*DEED TYPE <br />STATUTORY WARRAI'1TY STFiD �7� <br />SPECIAL WARi2ANTY D�ED SPWD ( ) <br />" QUIT CLAIM _� � ) <br />OTHER OTHR ( ) <br />*EA6EMENT TYPE <br />WATER H20 <br />SANITARY SEWER SS <br />STORM DRAINAGE SD <br />STREET SSR <br />PRZVATE UTZLITY FU <br />OTHER OTHR <br />GE�YE�AL UT/G/7Y � <br />USE PERMIT <br />RIGHT OF ENTRY <br />SPECIAL CONDITIONS TO T1TLE _ <br />NOTE: R = query data <br />*ACQUISITION <br />PIIRCHASE <br />CONDEMNI�TSON <br />P'ORECLOSURE <br />DONATION <br />DEDICATION <br />OTHER <br />*COPN£YANCE <br />SALE <br />DONATION <br />VACATION <br />OTHER <br />TYPE <br />PURC �Q <br />COND ( ) <br />FORC ( ) <br />DONA ( ) <br />DFDI ( ) <br />OTHR ( ) <br />TYYE <br />SALE <br />DONA <br />VACT <br />OTHR <br />C�id'fRFiE. [i�C4n�:�:: <br />