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<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Concernant la maison pris en colocation suivante :</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Adresse du bien</span></td>
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			<td>{% textarea_tag name=&quot;258bb751&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse du bien&quot; data_map_field=&quot;full_address&quot; data_help=&quot;Adresse du bien&quot; data_ancien_ids=&quot;1804,14956,6216,7314,1300&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">D&eacute;signation&nbsp;</span></td>
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			<td>{% textarea_tag name=&quot;455019e6&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;D&eacute;signation du bien&quot; data_map_field=&quot;nomap&quot; data_help=&quot;D&eacute;signation du bien&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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</table>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td style="width: 25%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Surface habitable</span></td>
			<td>{% textinput_tag name=&quot;f2a36bc9&quot; data_label=&quot;Surface habitable&quot; data_map_field=&quot;area&quot; data_help=&quot;Surface habitable&quot; maxlength=&quot;25&quot; data_ancien_ids=&quot;40728&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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</table>

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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Figurant au cadastre section :</span></td>
			<td>{% textinput_tag name=&quot;85b42eee&quot; data_label=&quot;Section&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Section&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">num&eacute;ro :</span></td>
			<td>{% textinput_tag name=&quot;5eb48d6b&quot; data_label=&quot;Num&eacute;ro&quot; data_map_field=&quot;parcel_numero&quot; data_help=&quot;Num&eacute;ro&quot; maxlength=&quot;22&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
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</table>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Commentaire :</span></td>
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			<td>{% textarea_tag name=&quot;13380326&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Commentaire&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Pr&eacute;ciser ici sp&eacute;cificit&eacute;s p. ex. maison meubl&eacute;e, premi&egrave;re occupation, remise int&eacute;gralement &agrave; neuf, etc.&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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</table>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">(ci-apr&egrave;s le &laquo; <span style="font-weight:900;">Logement</span> &raquo;).</span></p>

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