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REAL PROPERTY RECORDS FORM <br />Form to be used for all executed conveyance documents and <br />files to Records. <br />*TAX ACCOUNT NO <br />*WORK ORDER NO <br />*CONVEYANCE DATE <br />*DEFARTMENT OWNERSHIP ��nP�;y�j�'� � {���,G l�,l��;Ce� <br />ORDINANCE NUMBER <br />*GRANTOR �Y"1 �Ti'1C�lT�I C). CQY� <br />*GRANTEE C�,�,—�- f�-�1o�.,1L � — <br />*LEGAL DESCRIPTION <br />SECTION _�_ (O1 - 36) <br />'POWNSHIP (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 �Lg� ���'� �� <br />STREET NO <br />STREET NAME C [ <br />CITY � <br />ZIP <br />AUDITOR'S FILE NO �--F� �j�: �'7�f i <br />PLAT NAME <br />PLAT NO — <br />*LID NO <br />•DEED TYPE <br />STATUTORY WARRANTY <br />SPECIAL WARRANTY DEED <br />'� QUIT CI,AIM <br />OTHER <br />+EABEMENT TYpE <br />WA�SER H2 0 <br />SANITARY SEWER SS <br />STORM DRAINAGE SD <br />STREET SSR <br />P�ZIVATE UTILITY PU <br />OTHER OTHR <br />GENE.PfJL UTjL/TY <br />•ACQIIISITION <br />STWD '�jG� p�gCHASE <br />SPWD ( ) CONDEAItIATION <br />CD ( ) FOREr_LOSURE <br />OTi{R ( ) DCNATION <br />DEDICATION <br />OTHER <br />iJSE PERMIT <br />i22GHT OF ENTRY <br />SPECIAL CONDITIONS TO TITLE <br />NOTE: * =� :�very data <br />•CONVEYANCE <br />SALE <br />DONATION <br />VACATION <br />OTHER <br />TYPE <br />PURC <br />COND <br />2'ORC <br />DONA <br />DEDI <br />OTHR <br />2YPE <br />SALE ( ) <br />DONA ( ) <br />VACT ( ) <br />oT� � � <br />