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<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td colspan="3" style="width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p" style="font-size: 18px; font-weight: 900;">PI&Egrave;CES JOINTES</span>&nbsp; &nbsp; &nbsp;</span></td>
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			<td style="width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;ad7e9b04&quot; data_label=&quot;Plan cadastral&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Plan cadastral&quot; data_ancien_ids=&quot;26979,25962&quot; %}&nbsp;plan cadastral</span></td>
			<td style="width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;{% checkbox_tag name=&quot;cb3f786a&quot; data_label=&quot;Plan de bornage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Bornage&quot; data_ancien_ids=&quot;6875,25869&quot; %} plan de bornage</span></td>
			<td style="width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;d758b89e&quot; data_label=&quot;Certificat d&#39;urbanisme mentionnant la constructibilit&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Certificat d&#39;urbanisme mentionnant la constructibilit&eacute;&quot; %} certificat d&#39;urbanisme mentionnant la constructibilit&eacute;</span></td>
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			<td style="width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;84c4b38b&quot; data_label=&quot;D&eacute;claration pr&eacute;alable&quot; data_map_field=&quot;nomap&quot; data_help=&quot;D&eacute;claration pr&eacute;alable&quot; %}&nbsp;d&eacute;claration pr&eacute;alable</span></td>
			<td style="width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;c3031bb5&quot; data_label=&quot;D&eacute;cision de non opposition &agrave; d&eacute;claration pr&eacute;alable&quot; data_map_field=&quot;nomap&quot; data_help=&quot;D&eacute;cision de non opposition &agrave; d&eacute;claration pr&eacute;alable&quot; %} d&eacute;cision de non opposition &agrave; d&eacute;claration pr&eacute;alable&nbsp;</span></td>
			<td style="width: 33%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;49a58dc5&quot; data_label=&quot;Permis d&#39;am&eacute;nager&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Permis d&#39;am&eacute;nager&quot; %}&nbsp;permis d&#39;am&eacute;nager</span></td>
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<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;">{% checkbox_tag name=&quot;1be4a6ff&quot; data_label=&quot;PV de constat d&#39;affichage de l&#39;autorisation de lotir (d&eacute;claration pr&eacute;alable d&#39;am&eacute;nager)&quot; data_map_field=&quot;nomap&quot; data_help=&quot;PV de constat d&#39;affichage de l&#39;autorisation de lotir (d&eacute;claration pr&eacute;alable d&#39;am&eacute;nager)&quot; %}&nbsp;PV de constat d&#39;affichage de l&#39;autorisation de lotir (d&eacute;claration pr&eacute;alable d&#39;am&eacute;nager)</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;a4c6fa3f&quot; data_label=&quot;attestation de la mairie de non recours contre l&#39;autorisation de lotir (d&eacute;cision de non opposition &agrave; la d&eacute;claration pr&eacute;alable ou permis d&#39;am&eacute;nager)&quot; data_map_field=&quot;nomap&quot; data_help=&quot;attestation de la mairie de non recours contre l&#39;autorisation de lotir (d&eacute;cision de non opposition &agrave; la d&eacute;claration pr&eacute;alable ou permis d&#39;am&eacute;nager)&quot; %}&nbsp;attestation de la mairie de non recours contre l&#39;autorisation de lotir (d&eacute;cision de non opposition &agrave; la d&eacute;claration pr&eacute;alable ou permis d&#39;am&eacute;nager)</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;a606697e&quot; data_label=&quot;Attestation greffe tribunal administratif confirmant l&#39;absence de recours contentieux contre l&#39;autorisation de lotir&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Attestation greffe tribunal administratif confirmant l&#39;absence de recours contentieux contre l&#39;autorisation de lotir&quot; %} attestation greffe tribunal administratif confirmant l&#39;absence de recours contentieux contre l&#39;autorisation de lotir</span></td>
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<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td style="width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;239595a0&quot; data_label=&quot;&Eacute;tat des risques et pollutions des sols&quot; data_map_field=&quot;nomap&quot; %} &eacute;tat des risques et pollutions des sols</span></td>
			<td style="width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;670c0526&quot; data_label=&quot;&Eacute;tat des nuisances sonores a&eacute;riennes (informatif)&quot; data_map_field=&quot;nomap&quot; data_help=&quot;&Eacute;tat des nuisances sonores a&eacute;riennes (informatif)&quot; %} &eacute;tat des nuisances sonores a&eacute;riennes (informatif)&nbsp;</span></td>
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			<td style="width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;7b8c82a8&quot; data_label=&quot;&Eacute;tude des risques miniers&quot; data_map_field=&quot;nomap&quot; data_help=&quot;&Eacute;tude des risques miniers&quot; %} &eacute;tude des risques miniers</span></td>
			<td style="width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;4788b9a9&quot; data_label=&quot;&Eacute;tat de pr&eacute;sence ou absence de termites&quot; data_map_field=&quot;nomap&quot; data_help=&quot;&Eacute;tat de pr&eacute;sence ou absence de termites&quot; data_ancien_ids=&quot;5934,25630&quot; %}&nbsp;&eacute;tat de pr&eacute;sence ou absence de termites</span></td>
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			<td style="width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;4a77678e&quot; data_label=&quot;Recherche d&#39;une pollution du sol ou du sous-sol si un audit environnemental a &eacute;t&eacute; r&eacute;alis&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Recherche d&#39;une pollution du sol ou du sous-sol si un audit environnemental a &eacute;t&eacute; r&eacute;alis&eacute;&quot; %} recherche d&#39;une pollution du sol ou du sous-sol si un audit environnemental a &eacute;t&eacute; r&eacute;alis&eacute;</span></td>
			<td style="width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;5c7014dd&quot; data_label=&quot;Fiche descriptive contractuelle&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Fiche descriptive contractuelle&quot; %}&nbsp;fiche descriptive contractuelle&nbsp;TERRAIN&nbsp;&nbsp; &nbsp; &nbsp;</span></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;">{% checkbox_tag name=&quot;288a1c35&quot; data_label=&quot;&Eacute;tude g&eacute;otechnique pr&eacute;alable si zone d&#39;exposition moyenne ou forte au mouvement de terrain diff&eacute;rentiel cons&eacute;cutif &agrave; la s&eacute;cheresse et &agrave; la r&eacute;hydratation des sols&quot; data_map_field=&quot;nomap&quot; data_help=&quot;&Eacute;tude g&eacute;otechnique pr&eacute;alable si zone d&#39;exposition moyenne ou forte au mouvement de terrain diff&eacute;rentiel cons&eacute;cutif &agrave; la s&eacute;cheresse et &agrave; la r&eacute;hydratation des sols&quot; %} &eacute;tude g&eacute;otechnique pr&eacute;alable si zone d&#39;exposition moyenne ou forte au mouvement de terrain diff&eacute;rentiel cons&eacute;cutif &agrave; la s&eacute;cheresse et &agrave; la r&eacute;hydratation des sols</span></td>
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</table>

<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
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			<td style="width: 3%; vertical-align: middle;">{% checkbox_tag name=&quot;a4c0f7ec&quot; data_label=&quot;Pi&egrave;ce jointe autre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Pi&egrave;ce jointe autre&quot; data_ancien_ids=&quot;6971,25394&quot; %}</td>
			<td style="width: 97%;">{% textinput_tag name=&quot;97991852&quot; data_label=&quot;Pi&egrave;ce jointe autre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Pi&egrave;ce jointe autre&quot; maxlength=&quot;80&quot; data_ancien_ids=&quot;7044,25417&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td>{% textarea_tag name=&quot;f3bc8826&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Pi&egrave;ce jointe autre 2&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Pi&egrave;ce jointe autre 2&quot; data_ancien_ids=&quot;25346&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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