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Contenu

<table border="0" cellpadding="1" cellspacing="5" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 24%;">Ann&eacute;e de construction :</td>
			<td>{% textinput_tag name=&quot;2f552fa4&quot; data_label=&quot;Ann&eacute;e de construction&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Ann&eacute;e de construction&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">
			Surface habitable en m2&nbsp;:
			</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;7613c61e&quot; data_label=&quot;Surface habitable&quot; data_map_field=&quot;area&quot; data_help=&quot;Surface habitable&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">Superficie du terrain :</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;d78c9a5b&quot; data_label=&quot;Superficie du terrain&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Superficie du terrain&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">Taxe Fonci&egrave;re par an :</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;89a6d2c7&quot; data_label=&quot;Taxe fonci&egrave;re&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Taxe fonci&egrave;re&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">Surface des annexes en m2 :&nbsp;</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;09c61546&quot; data_label=&quot;Surface annexe&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Surface annexe&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">N&deg; cadastre :&nbsp;</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;807bb7cd&quot; data_label=&quot;Cadastre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Cadastre&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">Lotissement :</td>
			<td style="width: 80%;">{% radio_tag name=&quot;3144b711&quot; data_label=&quot;Lotissement &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Lotissement &quot; data_choices=&quot;OUI|oui; NON|non;&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">Autre :</td>
			<td style="vertical-align: middle; width: 80%;">{% textinput_tag name=&quot;594a986d&quot; data_label=&quot;Autre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="5" style="width:100%;">
	<tbody>
		<tr>
			<td colspan="2" style="vertical-align: top; width: 22%;">Descriptif de la construction</td>
		</tr>
		<tr>
			<td style="vertical-align: top; width: 22%;">Fondations, soubassement :</td>
			<td>{% textarea_tag name=&quot;0268d37e&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Fondations, soubassement :&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Fondations, soubassement :&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: top; width: 22%;">Structure des murs :</td>
			<td>{% textarea_tag name=&quot;d2c4c280&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Structure des murs :&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Structure des murs :&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: top; width: 22%;">Cloisons :&nbsp;</td>
			<td>{% textarea_tag name=&quot;3c21d767&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Cloisons &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Cloisons :&nbsp;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: top; width: 22%;">Charpente :</td>
			<td>{% textarea_tag name=&quot;29daa753&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Charpente&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Charpente&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: top; width: 22%;">Couverture :</td>
			<td>{% textarea_tag name=&quot;46ac840b&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Couverture&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Couverture&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

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