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			<td colspan="2" style="vertical-align: middle; width: 30%;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">CARACT&Eacute;RISTIQUES</span><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">&nbsp;PRINCIPALES DU LOGEMENT&nbsp;</span></td>
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			<td style="vertical-align: middle; width: 30%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Nombre de pi&egrave;ces d&#39;habitation :</span></td>
			<td>{% textinput_tag name=&quot;f410c152&quot; data_map_field=&quot;nb_room&quot; maxlength=&quot;70&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 30%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Surface habitable totale :</span></td>
			<td>{% textinput_tag name=&quot;37057ce9&quot; data_label=&quot;Surface habitable totale &quot; data_map_field=&quot;area&quot; data_help=&quot;Surface habitable totale &quot; maxlength=&quot;70&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 30%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Capacit&eacute; de couchage :&nbsp;</span></td>
			<td>{% textinput_tag name=&quot;4bb027d3&quot; data_label=&quot;Capacit&eacute; de couchage &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Nombre de personne maximum pr&eacute;vu, les enfants de moins de 5 ans n&#39;&eacute;tant pas pris en compte&quot; maxlength=&quot;70&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 30%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Type de construction :</span></td>
			<td>{% textinput_tag name=&quot;d1fc81b7&quot; data_label=&quot;Type de construction &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de construction &quot; maxlength=&quot;70&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Annexes laiss&eacute;es &agrave; la jouissance du locataire : </span>{% checkbox_tag name=&quot;e2dbc6cb&quot; data_label=&quot;Garage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Garage&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Garage&nbsp;&nbsp;</span>{% checkbox_tag name=&quot;0987de57&quot; data_label=&quot;Parking&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Parking&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Parking&nbsp;&nbsp;</span>{% checkbox_tag name=&quot;6b8b56f8&quot; data_label=&quot;loggia&nbsp;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;loggia&nbsp;&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Loggia&nbsp;</span></p>

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			<td style="vertical-align: middle; width: 15%;">&nbsp;{% checkbox_tag name=&quot;85b5bea2&quot; data_label=&quot;terrasse&quot; data_map_field=&quot;nomap&quot; data_help=&quot;terrasse&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;terrasse en m&sup2; :</span></td>
			<td style="vertical-align: middle; width: 35%;">{% textinput_tag name=&quot;737e46e0&quot; data_label=&quot;Dimension de la terrasse&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Dimension de la terrasse en m&sup2;&quot; maxlength=&quot;30&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 15%; text-align: right;">&nbsp;{% checkbox_tag name=&quot;69c7cdfc&quot; data_label=&quot;cour&quot; data_map_field=&quot;nomap&quot; data_help=&quot;cour&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;cour&nbsp;en m&sup2; :&nbsp;</span></td>
			<td style="vertical-align: middle; width: 35%;">{% textinput_tag name=&quot;243fe0ed&quot; data_label=&quot;Dimension de la cour&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Dimension de la cour en m&sup2;&quot; maxlength=&quot;30&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 10%;">&nbsp;{% checkbox_tag name=&quot;19ec1475&quot; data_label=&quot;Autre annexe&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre annexe&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Autre :&nbsp;&nbsp;</span></td>
			<td>{% textinput_tag name=&quot;6db5bfb9&quot; data_label=&quot;Autre annexe&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre annexe&quot; maxlength=&quot;90&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td colspan="3" style="vertical-align: bottom; width: 33%;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">SITUATION DE L&#39;IMMEUBLE DANS LA LOCALIT&Eacute;&nbsp;&nbsp;</span></td>
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			<td style="vertical-align: bottom; width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">distance de la mer </span></span><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p">en m&egrave;tre :</span></span></span></em></td>
			<td style="vertical-align: bottom; width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">de la plage la plus proche&nbsp;</span></span><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p">en m&egrave;tre :</span></span></span></em></td>
			<td style="vertical-align: bottom; width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">du lac&nbsp;</span></span><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p">en m&egrave;tre :</span></span></span></em></td>
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			<td style="vertical-align: middle; width: 33%;">{% textinput_tag name=&quot;6b7da373&quot; data_label=&quot;distance de la mer&quot; data_map_field=&quot;nomap&quot; data_help=&quot;distance de la mer&quot; maxlength=&quot;30&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 33%;">{% textinput_tag name=&quot;85dee9ca&quot; data_label=&quot;distance de la plage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;distance de la plage&quot; maxlength=&quot;30&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 33%;">{% textinput_tag name=&quot;2a9c8c20&quot; data_label=&quot;distance du lac&quot; data_map_field=&quot;nomap&quot; data_help=&quot;distance du lac&quot; maxlength=&quot;30&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">de la gare SNCF&nbsp;</span></span><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p">en m&egrave;tre :</span></span></span></em></td>
			<td style="vertical-align: bottom; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">de la gare routi&egrave;re&nbsp;</span><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p">en m&egrave;tre :</span></span></span></em></td>
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			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;3fb63d7a&quot; data_label=&quot;distance de la gare SNCF&quot; data_map_field=&quot;nomap&quot; data_help=&quot;distance de la gare SNCF&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;1e8c8186&quot; data_label=&quot;Distance de la gare&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Distance de la gare&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">du centre-ville&nbsp;</span></span><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p">en m&egrave;tre :</span></span></span></em></td>
			<td style="vertical-align: bottom; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">du centre commercial</span>&nbsp;</span><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p">en m&egrave;tre :</span></span></span></em></td>
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			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;7d33f908&quot; data_label=&quot;distance du centre-ville&quot; data_map_field=&quot;nomap&quot; data_help=&quot;distance du centre-ville&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;95ae9369&quot; data_label=&quot;Distance du centre commercial&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Distance du centre commercial&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 10%;">&nbsp;{% checkbox_tag name=&quot;097beb41&quot; data_label=&quot;Autre situation&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre situation&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Autre :&nbsp;&nbsp;</span></td>
			<td>{% textinput_tag name=&quot;2947e3ab&quot; data_label=&quot;Autre situation&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre situation&quot; maxlength=&quot;90&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">AVANTAGES LI&Eacute;S &Agrave;&nbsp;</span><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">LA SITUATION</span></td>
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			<td>{% textarea_tag name=&quot;1374257d&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Avantages li&eacute;s &agrave; la situation&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Avantages li&eacute;s &agrave; la situation&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">NUISANCES &Eacute;VENTUELLES DU VOISINAGE (sonores, odeurs, etc)</span></td>
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			<td>{% textarea_tag name=&quot;f5e39a3b&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Nuisances &eacute;ventuelles&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Nuisances &eacute;ventuelles&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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