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<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
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			<td colspan="2" style="width: 35%; vertical-align: middle;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">USAGE : </span><span style="font-weight:900;"><span class="titre_p" style="font-family: ITCAvantGardePro; font-size: 18px;"><span style="font-size: 12px;">&nbsp;</span></span></span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;a565c6ee&quot; data_label=&quot;Logement meubl&eacute; ou vide&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Logement meubl&eacute; ou vide&quot; data_choices=&quot;logement vide|vide; logement meubl&eacute;|meubl&eacute;;&quot; %}</span></td>
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			<td style="width: 35%; vertical-align: middle;">{% checkbox_tag name=&quot;9f99ed2e&quot; data_label=&quot;Usage : habitation&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Usage : habitation&quot; data_ancien_ids=&quot;699,7215,2580&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">habitation en r&eacute;sidence principale</span></td>
			<td style="vertical-align: middle;">{% checkbox_tag name=&quot;bd9c5294&quot; data_label=&quot;Usage : mixte habitation en r&eacute;sidence principale/professionnel&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Usage : mixte habitation /professionnel&quot; data_ancien_ids=&quot;748,7262,2602&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">mixte habitation/professionnel</span></td>
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<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
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			<td style="vertical-align: middle; width: 15%;">{% checkbox_tag name=&quot;1c8c9ad3&quot; data_label=&quot;Usage : professionnel&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Usage : professionnel&quot; data_ancien_ids=&quot;600,7120,2624&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">professionnel</span></td>
			<td style="width: 15%; vertical-align: middle;">{% checkbox_tag name=&quot;4c411261&quot; data_label=&quot;Usage : commercial&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Usage : commercial&quot; data_ancien_ids=&quot;649,7167,2646&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">commercial</span></td>
			<td style="vertical-align: middle; width: 3%;">{% checkbox_tag name=&quot;899987a5&quot; data_label=&quot;Usage : autre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Usage : autre&quot; data_ancien_ids=&quot;575,7096,2895,2668&quot; %}</td>
			<td style="vertical-align: middle; width: 67%;">{% textinput_tag name=&quot;82e0bfde&quot; data_label=&quot;Usage : autre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Usage : autre&quot; maxlength=&quot;50&quot; data_ancien_ids=&quot;551,7073,2873,2558&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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