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			<td colspan="4" rowspan="1" style="vertical-align: middle; width: 15%;"><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></span><br />
			<span style="font-size:14px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span style="font-weight:600;">Local principal :</span></span></span></td>
			<td style="width: 60%;">&nbsp;</td>
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			<td style="vertical-align: middle; width: 15%;">{% checkbox_tag name=&quot;61d1f60a&quot; data_label=&quot;Appartement&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Appartement&quot; data_ancien_ids=&quot;9029&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"> Appartement</span></td>
			<td style="vertical-align: middle; width: 10%;">{% checkbox_tag name=&quot;93fc2e1b&quot; data_label=&quot;Maison&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Maison&quot; data_ancien_ids=&quot;9076&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Maison</span></td>
			<td style="vertical-align: middle; width: 12%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;</span>{% checkbox_tag name=&quot;a96372d3&quot; data_label=&quot;Boutique&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Boutique&quot; data_ancien_ids=&quot;6653,1068,4226,9122&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Boutique</span></td>
			<td style="width: 3%; vertical-align: middle;">{% checkbox_tag name=&quot;caa3170d&quot; data_label=&quot;Local principale&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Local principale&quot; data_ancien_ids=&quot;9168&quot; %}</td>
			<td style="width: 60%;">{% textinput_tag name=&quot;a62d6705&quot; data_label=&quot;D&eacute;signation autre&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;D&eacute;signation autre&quot; maxlength=&quot;50&quot; data_ancien_ids=&quot;9145&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 20%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Nombre de pi&egrave;cs :</span></td>
			<td>{% textinput_tag name=&quot;48d06def&quot; data_label=&quot;Nombre de pi&egrave;ce&quot; data_map_field=&quot;nb_room&quot; data_help=&quot;Nombre de pi&egrave;ce&quot; maxlength=&quot;75&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td colspan="4" rowspan="1" style="vertical-align: middle; width: 11%;"><span style="font-size:14px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span style="font-weight:600;">Annexe(s) :</span></span></span></td>
			<td style="width: 3%; vertical-align: middle;">&nbsp;</td>
			<td style="width: 52%;">&nbsp;</td>
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			<td style="vertical-align: middle; width: 11%;">{% checkbox_tag name=&quot;e9d68161&quot; data_label=&quot;Garage&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Garage&quot; data_ancien_ids=&quot;9283&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Garage n&deg;</span></td>
			<td style="width: 12%;">
			<p>{% textinput_tag name=&quot;ed2502ed&quot; data_label=&quot;Garage n&deg;&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Garage n&deg;&quot; maxlength=&quot;15&quot; data_ancien_ids=&quot;9306&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>
			</td>
			<td style="vertical-align: middle; width: 10%;">&nbsp;{% checkbox_tag name=&quot;608ba1ea&quot; data_label=&quot;Cave n&deg;&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Cave n&deg;&quot; data_ancien_ids=&quot;9352&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Cave n&deg; </span></td>
			<td style="vertical-align: middle; width: 12%;">{% textinput_tag name=&quot;01b7e1f3&quot; data_label=&quot;N&deg; cave&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;N&deg; cave&quot; maxlength=&quot;15&quot; data_ancien_ids=&quot;9376&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 3%; vertical-align: middle;">&nbsp;{% checkbox_tag name=&quot;9322c089&quot; data_label=&quot;Annexe autre&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Annexe autre&quot; data_ancien_ids=&quot;9237&quot; %}</td>
			<td style="width: 52%;">{% textinput_tag name=&quot;be58f753&quot; data_label=&quot;Annexe autre&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Annexe autre&quot; maxlength=&quot;60&quot; data_ancien_ids=&quot;9214&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;">Immeuble sis &agrave;</span></td>
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			<td>{% textarea_tag name=&quot;202bd211&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;1362,4080,9400&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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