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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p" style="font-size: 18px; font-weight: 900;">SITUATION, D&Eacute;SIGNATION ET CONSISTANCE DES LOCAUX</span><br />
			Commune de :</span></td>
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			<td>{% textarea_tag name=&quot;ed708241&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse du logement&quot; data_map_field=&quot;full_address&quot; data_help=&quot;Adresse du logement&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td colspan="4" style="width: 25%; text-align: justify;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">D&Eacute;SIGNATION DES PARTIES, &Eacute;QUIPEMENT ET ACCESSOIRES DE L&#39;IMMEUBLE FAISANT L&#39;OBJET D&#39;UN USAGE COMMUN</span></td>
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			<td style="width: 25%;">{% checkbox_tag name=&quot;bcbf89d2&quot; data_label=&quot;Chauffage collectif&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Chauffage collectif&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Chauffage collectif&nbsp;</span></td>
			<td style="width: 25%;">{% checkbox_tag name=&quot;7bea8e7c&quot; data_label=&quot;Eau chaude collective&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Eau chaude collective&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Eau chaude collective</span></td>
			<td style="width: 18%;">{% checkbox_tag name=&quot;94c98066&quot; data_label=&quot;Ascenseur&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Ascenseur&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Ascenseur</span></td>
			<td style="width: 25%;">{% checkbox_tag name=&quot;9fd294c3&quot; data_label=&quot;Antenne TV collective&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Antenne TV collective&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Antenne TV collective</span></td>
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			<td style="width: 25%;">{% checkbox_tag name=&quot;40222f3e&quot; data_label=&quot;Gardiennage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Gardiennage&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Gardiennage</span></td>
			<td style="width: 25%;">{% checkbox_tag name=&quot;89c45ac4&quot; data_label=&quot;Vide-ordures&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Vide ordures&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Vide-ordures</span></td>
			<td style="width: 18%;">{% checkbox_tag name=&quot;fbcd4f57&quot; data_label=&quot;Interphone &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Interphone &quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Interphone</span></td>
			<td style="width: 25%;">{% checkbox_tag name=&quot;1c223ae6&quot; data_label=&quot;Espaces verts &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Espaces verts &quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Espaces verts</span></td>
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			<td style="vertical-align: middle; width: 10%;">{% checkbox_tag name=&quot;0efd7b3f&quot; data_label=&quot;Autre&nbsp;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre&nbsp;&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Autre&nbsp;</span>:</td>
			<td>{% textarea_tag name=&quot;8b09f333&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Autre&nbsp;&eacute;quipement commun&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre&nbsp;&eacute;quipement commun&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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