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			<td><span style="color:#c70028;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">D&Eacute;SIGNATION DU BIEN A VENDRE</span></span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">Adresse du bien :</span></span></td>
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			<td>{% textarea_tag name=&quot;04b993e8&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse des lieux&quot; data_map_field=&quot;full_address&quot; data_help=&quot;Indiquer l&#39;adresse pr&eacute;cise des lieux (adresse, b&acirc;timent, &eacute;tage, porte etc)&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;">Type de bien : {% radio_tag name=&quot;60bfd5d4&quot; data_label=&quot;Type de bien&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Indiquer le type de bien&quot; data_choices=&quot;Studio&nbsp; &nbsp; &nbsp;|Studio; Appartement&nbsp; &nbsp; &nbsp;|Appartement; Maison&nbsp; &nbsp; |Maison;&quot; %}</span></td>
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			<td style="width: 17%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Surface indicative*&nbsp; :</span></td>
			<td style="width: 10%; vertical-align: bottom;">{% textinput_tag name=&quot;0e6876b0&quot; data_label=&quot;Surface indicative&quot; data_map_field=&quot;area&quot; data_help=&quot;Murs, balcons et terrasses inclus, cette indication de surface n&rsquo;&eacute;tant qu&rsquo;indicative et non de rigueur.&quot; maxlength=&quot;10&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 19%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp; &nbsp; Nombre de pi&egrave;ces :</span></td>
			<td style="width: 10%; vertical-align: bottom;">{% textinput_tag name=&quot;71ab6113&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;10&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: bottom; width: 10%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp; &nbsp; &nbsp;&Eacute;tage :</span></td>
			<td style="vertical-align: bottom; width: 10%;">{% textinput_tag name=&quot;dce7dc2f&quot; data_label=&quot;Etage&quot; data_map_field=&quot;floor&quot; data_help=&quot;Etage&quot; maxlength=&quot;10&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td colspan="7"><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;">*Murs, balcons et terrasses inclus, cette indication de surface n&rsquo;&eacute;tant qu&rsquo;indicative et non de rigueur.</span></span></em></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">Autres caract&eacute;ristiques :</span></span></td>
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			<td>{% textarea_tag name=&quot;f4d1478a&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Description du bien&quot; data_map_field=&quot;realty_name&quot; data_help=&quot;Indiquer une description du bien&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Conditions sp&eacute;cifiques :</span></p>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% checkbox_tag name=&quot;724eae34&quot; data_label=&quot;Libre de toute occupation&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Libre de toute occupation&quot; data_simplified_true=&quot;Libre de toute occupation&quot; %}&nbsp;&nbsp;Libre de toute occupation&nbsp; ;&nbsp;&nbsp;{% checkbox_tag name=&quot;4ff2f930&quot; data_label=&quot;R&eacute;nov&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;R&eacute;nov&eacute;&quot; data_simplified_true=&quot;R&eacute;nov&eacute;&quot; %}&nbsp;&nbsp;R&eacute;nov&eacute;&nbsp; ;&nbsp;&nbsp;{% checkbox_tag name=&quot;9a5b31d1&quot; data_label=&quot;Sous loi &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Sous loi &quot; data_simplified_true=&quot;Sous loi &quot; %}&nbsp; Sous loi (pr&eacute;ciser) :&nbsp; </span>{% textinput_tag name=&quot;1cb18e1a&quot; data_label=&quot;Pr&eacute;cision loi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Pr&eacute;cision loi&quot; maxlength=&quot;15&quot; style=&quot;max-width:95px;min-width:60px;width:60px;&quot; fixedwidth=&quot;60&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp; ;&nbsp;&nbsp;</span>{% checkbox_tag name=&quot;d28df132&quot; data_label=&quot;Autre condition sp&eacute;cifique&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre condition sp&eacute;cifique&quot; %}&nbsp;&nbsp;:&nbsp;{% textinput_tag name=&quot;002e75fa&quot; data_label=&quot;Autre condition sp&eacute;cifique&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre condition sp&eacute;cifique&quot; maxlength=&quot;30&quot; style=&quot;max-width:210px;min-width:150px;width:150px;&quot; fixedwidth=&quot;150&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>
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