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SAMPLE BASELINE REPORT TEMPLATE

Page 1 of 4 SAMPLE BASELINE REPORT TEMPLATE BASELINE CONDITIONS REPORT TEMPLATE : TITLE PAGE ( BASELINE Conditions REPORT /Name of Property, Preparer, and Date).. 1 TABLE OF CONTENTS pages (number of pages of text, photos and maps - numbered and cited in declaration by preparer to prevent additions at a later date).. 2 DECLARATIONSi (Preparer, Grantor and Grantee).. 3 ACKNOWLEDGEMENT OF CONDITIONii (Grantor/Grantee).. 4 LOCATION OF ORIGINAL DOCUMENT (Permanent File location).. 4 SUMMARY INFORMATION (of the size, location, contact info, APN #s etc.).. 5 6 A. Purpose of BASELINE Conditions REPORT ( SAMPLE Text: The purpose of this BASELINE REPORT is to document the current physical condition of the Property.)

Page 4 of 4 ii ACKNOWLEDMENT OF CONDITION (Landowner) certifies that as Grantor, and (Executive Director or Board President), the Grantee of a Conservation Easement Deed on land located in XXXX County and known as the Beautiful Ranch,

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