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SPECIAL CONDITIONS <br /> FORM <br /> Ai F110, <br /> t7Aft101V17 pal Corporation <br /> Owner Ci!t!#E�RqatUr a_MunIcI <br /> County Macon <br /> Parcel No. 04-12-14302-01.0 ------ <br /> Structure Num. 11 - 3 <br /> Address <br /> Phone <br /> Email <br /> Please check all that apply <br /> D Animals On Property .... ❑ Locked Gate <br /> E] Endangered Species Present <br /> [3 Fence Ej Sprinkler System <br /> ❑ Septic System within the easement area <br /> ❑ Drain Til <br /> ❑ Outbuilding NEAR or ON easement right of way.Type: <br /> 0 Call number listed for accessing property: <br /> C] During hunting season please contact for safety.Hunting time frame: <br /> El specific clearing request: <br /> *If no specific request is indicated, all vegetation within the easement area will be cut. <br /> Ej ROW Access request(Preferred route): <br /> M Other-please describe below <br /> ---------- <br /> Signature svnature <br /> Print Print <br /> Date: <br /> Special Conditions,executed by these Grantors, is acknowledged. <br /> Date Negotiator for Ameren Illinois Company <br /> If you have any questions or need additional information, please feel free to call Volkert, Inc.at 618.345.8918 <br /> M Trees on Property <br /> Ameren Approval <br /> Easement No. 4.01 Line Name-Number: Decatur E Main St-Decatur Rt51 - 1416 <br /> 1 <br />