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� <br />REAL PROPERTY RECORDS FORM <br />Form to be used for all exe,:uted conveyance <br />files to Records. <br />*TAX ACCOUNT NO Zr�� <br />*WORK ORDER NO -�dZ-GYJ7-D/73 <br />*CONVEYANCE DATE q-2� y,5 <br />*DEPARTMENT OWNERSHIP���/ <br />ORDINANCE NUMBER <br />*GRANTOR <br />*GRANTEE <br />documents and <br />*LEGAL DESCRIPTION <br />SECTION /3 (O1 - 36) <br />TOWNSHIP 2`J (24 - 29) <br />RANGE rj¢ (04 - OS) <br />1/4 SECTION ¢ (NE-1, NW-2, SW-3, SE-4) <br />PROPERTY ADDRESS INFORMATION <br />CLOSEST INTERSECTION _4 �`A/Fu/F_STf /n �STS• !!/. <br />STREET TIO gc3// <br />STREET NAME 4�,9u� wEsr <br />CITY E�/E.PFTT <br />ZIP �f�z0¢ <br />AUDITOR' S FILE NO �6/DO OZ <br />PLAT NAME /yTE.C�/TV A/7O/T//.L(/ O/L: /. <br />PLAT NO ¢8�2 <br />*LID NO <br />•DEED TYPE <br />:iTATUTORY WARRANTY STWD �J <br />SPECIAL WARRANTY DEED SPWD ( ) <br />' QUIT CLAIM OCD ( ) <br />OTHER pTHR ( ) <br />•EABEMENT TYPE <br />WATER H20 <br />SANITARY SEWER SS <br />STORM DRAINAGE SD <br />STREET SSR <br />PRIVATE UTILITY PU <br />Gx�E.P,9L UT/L/ry OTHR <br />USE PERMIT <br />RIGHT OF ENTRY <br />SPECIAL CONDITIONS TO TITLE <br />NOTE: * = query <br />�ACQUISITION <br />PURCHASE <br />CONDEMNATION <br />FORECLOSURE <br />DONATION <br />DEDICATZON <br />OTHER <br />•CONVEYANCE <br />SALE <br />DONATION <br />VACATION <br />OTHER <br />TYPE <br />PURC <br />COND <br />HORC <br />DONA <br />DEDI <br />OTHR <br />TYPE <br />SALE ( ) <br />DONA ( ) <br />VACT ( ) <br />OTHR ( ) <br />