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1 <br />REAL PROPERTY RECORDS FORM <br />Form to be used for all executed conveyance documents and <br />files to Records. <br />*TAX ACCOUNT NO 7¢7jf . ��� _ ��3.7,il� <br />WORK ORpER NO <br />*CONVEYANCE DATE .5-7A-R�5 <br />*DEPARTMENT OWNERSHIp_R/W <br />ORDINANCE NUMEER <br />*GRANTOR <br />*GRANTEE <br />*LEGAL DESCRIPTION <br />SECTION � 4 (O1 - 36) <br />TOWNSIiIP �A (24 - 29) <br />RANGE � <br />1/4 SEC:TION � ` (NE-1,�NW-2, SW-3; SE-4) <br />PROPERI'Y ADDRESS INFORMATION YI <br />STREETTNONTERSF.CTION T�' y�c��-EYE.PETT.NAiG lU.9y <br />O <br />STREET NAME ��c. �,� �- <br />CITY ��/ ,P TT <br />ZIP ��ZO,¢ <br />AUDITOR�S FILE NO B60 9 7/,ZL <br />PLAT NAME 11,:A• <br />PLAT NO � �, --- <br />*LID NO <br />•DfiED TYPE <br />STATUTORY WARRANTy STWD <br />SPECIAL WARRANTY DEED SPWD <br />" QUIT CLAIM CD <br />OTHER OTHR <br />*EASEMF.NT TYpE <br />WATER H20 <br />S;INITARY SEWER SS <br />STORM DR,'�INAG:; SD <br />SSREET SSR <br />PRIVATE UTILITY PU <br />GTENE�PfJL UT/L/ry OTHR <br />) <br />) <br />) <br />) <br />)) <br />) <br />USE PERMIT <br />RIGHT OF ENTRY � <br />SPECIAL CONDITIONS TO TITLE <br />*ACQUISZTION <br />DQ PURCHASE <br />( ) CONDEMN�TION <br />( ) F'ORECLOSURE <br />� ) DONATION <br />DEDICATI��N <br />OTHER <br />NOTE: • = qvery data <br />•CONVEYANCE <br />SALE <br />DONATION <br />VACATION <br />OTHER <br />TYPE <br />PURC <br />COND <br />FORC <br />DONA <br />DEDI <br />OTHR <br />TYPE <br />SAL:; ( ) <br />D- O1jA ( ) <br />VACT ( ) <br />OTHR f ) <br />