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<p style="text-align: justify;"><span style="color:#013ca6;"><span style="font-size:14px;"><span class="titre_p" style="font-family: ITCAvantGardePro; font-weight: 900;">C.</span></span><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;"> <em><span style="font-size: 12px; font-weight: 200;">Le cas &eacute;ch&eacute;ant,</span>&nbsp;</em></span><span style="font-size:14px;"><span class="titre_p" style="font-family: ITCAvantGardePro; font-weight: 900;">D&eacute;signation des locaux et &eacute;quipements accessoires de l&rsquo;immeuble &agrave; usage privatif du locataire</span></span></span><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;"> <span style="font-size: 12px; font-weight: 200;">(exemples : cave, parking, garage, etc.)&nbsp;:</span></span></p>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle;">{% checkbox_tag name=&quot;42be4a2f&quot; data_label=&quot;Cave&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Cave&quot; %} <span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">cave</span></td>
			<td style="vertical-align: middle;">{% checkbox_tag name=&quot;00b23ca1&quot; data_label=&quot;parking&quot; data_map_field=&quot;nomap&quot; data_help=&quot;parking&quot; %}&nbsp;<span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;"><span style="font-size: 12px; font-weight: 200;">parking</span></span></td>
			<td style="vertical-align: middle;">{% checkbox_tag name=&quot;3249af04&quot; data_label=&quot;Garage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Garage&quot; %} <span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">garage</span></td>
			<td style="vertical-align: middle;">{% checkbox_tag name=&quot;c76eda9d&quot; data_label=&quot;piscine&nbsp;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;piscine&nbsp;&quot; %}&nbsp;<span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;"><span style="font-size: 12px; font-weight: 200;">piscine&nbsp;</span></span></td>
			<td style="vertical-align: middle;">{% checkbox_tag name=&quot;befc1569&quot; data_label=&quot;Autre type de bien 2&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 2 : autre&quot; %}</td>
			<td style="vertical-align: middle;">{% textinput_tag name=&quot;b2361d3b&quot; data_label=&quot;D&eacute;signation du type de bien 2&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 2 : autre&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle;">{% checkbox_tag name=&quot;e96f80e2&quot; data_label=&quot;Autre type de bien 3&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 3 : autre&quot; %}</td>
			<td style="vertical-align: middle;">{% textinput_tag name=&quot;9b2bfe57&quot; data_label=&quot;D&eacute;signation du type de bien 3&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 3 : autre&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span style="color:#013ca6;"><span style="font-size:14px;"><span class="titre_p" style="font-weight: 900;">D.</span> </span><em>Le cas &eacute;ch&eacute;ant,</em><span class="titre_p" style="font-size: 18px; font-weight: 900;"> </span><span style="font-size:14px;"><span class="titre_p" style="font-weight: 900;">&Eacute;num&eacute;ration des locaux, parties, &eacute;quipements et accessoires de l&rsquo;immeuble &agrave; usage commun</span></span></span> (garage &agrave; v&eacute;lo, ascenseur, espaces verts, aires et &eacute;quipements de jeux, laverie, local poubelle, gardiennage, autres prestations et services collectifs, etc.) :&nbsp;</span></p>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td>{% checkbox_tag name=&quot;06546df2&quot; data_label=&quot;garage &agrave; v&eacute;lo&quot; data_map_field=&quot;nomap&quot; data_help=&quot;garage &agrave; v&eacute;lo&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">garage &agrave; v&eacute;lo</span></td>
			<td>{% checkbox_tag name=&quot;1fc3dda3&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>{% checkbox_tag name=&quot;5af41512&quot; data_label=&quot;espaces verts&quot; data_map_field=&quot;nomap&quot; data_help=&quot;espaces verts&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">espaces verts</span></td>
			<td>{% checkbox_tag name=&quot;213b91ce&quot; data_label=&quot;aires et &eacute;quipements de jeux&quot; data_map_field=&quot;nomap&quot; data_help=&quot;aires et &eacute;quipements de jeux&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">aires et &eacute;quipements de jeux</span></td>
			<td>{% checkbox_tag name=&quot;61223205&quot; data_label=&quot;local poubelle&quot; data_map_field=&quot;nomap&quot; data_help=&quot;local poubelle&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">local poubelle</span></td>
			<td>{% checkbox_tag name=&quot;15631911&quot; data_label=&quot;gardiennage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;gardiennage&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">gardiennage</span></td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="width: 3%;">{% checkbox_tag name=&quot;392090ce&quot; data_label=&quot;Autres &eacute;quipements &agrave; usage commun&quot; data_map_field=&quot;nomap&quot; data_help=&quot;autres&quot; %}&nbsp;</td>
			<td>{% textinput_tag name=&quot;93bfd3a6&quot; data_label=&quot;D&eacute;signation des autres &eacute;quipements&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autres&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<div style="page-break-inside: avoid;">
<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span style="color:#013ca6;"><span style="font-size:14px;"><span class="titre_p" style="font-weight: 900;">E.</span></span> <em>Le cas &eacute;ch&eacute;ant,</em> <span style="font-size:14px;"><span class="titre_p" style="font-weight: 900;">&Eacute;quipement d&rsquo;acc&egrave;s aux technologies de l&rsquo;information et de la communication</span></span></span> (exemples : modalit&eacute;s de r&eacute;ception de la t&eacute;l&eacute;vision dans l&rsquo;immeuble, modalit&eacute;s de raccordement internet, etc.) :</span></p>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td>{% textarea_tag name=&quot;7c201176&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;&Eacute;quipement d&rsquo;acc&egrave;s aux technologies de l&#39;information et de la communication&quot; data_map_field=&quot;nomap&quot; data_help=&quot;&Eacute;quipement d&rsquo;acc&egrave;s aux TIC ex : modalit&eacute;s de r&eacute;ception de la t&eacute;l&eacute;vision dans l&rsquo;immeuble, modalit&eacute;s de raccordement internet,&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>
</div>

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