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buildingLoc.html
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<!doctype html>
<html>
<head>
<title>Bayfield County - Address Application</title>
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.css">
<script src="http://code.jquery.com/jquery-1.8.2.min.js"></script>
<script src="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.js"></script>
</head>
<body>
<div data-role="page">
<div data-role="header">
<!--<h1>Bayfield County - Address Application</h1>-->
<div align="center">
<img src="images/BC_header.jpg" class="ui-btn-center" />
</div>
</div><!-- /header -->
<div class="content-primary">
<form action="#" method="get">
<h2>Building Location Information</h2>
<div data-role="fieldcontain">
<label for="name">Legal Description (from deed):</label>
<input type="text" name="legalDes" id="legalDes" value="" />
<br />
<br />
<label for="name">Section:</label>
<input type="text" name="section" id="section" value="" />
<br />
<br />
<label for="name">Township:</label>
<input type="text" name="twp" id="twp" value="" />
<br />
<br />
<label for="name">Range:</label>
<input type="text" name="range" id="range" value="" />
<br />
<br />
<label for="name">Town - Village:</label>
<input type="text" name="townV" id="townV" value="" />
<br />
<br />
<!--<label for="name">Tax ID No. (from tax statement):</label>
<input type="text" name="parcelPIN" id="parcelPIN" value="" />
<br />
<br />-->
<label for="name">Road Name:</label>
<input type="text" name="roadName" id="roadName" value="" />
<br />
<br />
<label for="name">I am on which side of the road:</label>
<select name="roadDir" id="roadDir" data-native-menu="false">
<option value="north">North</option>
<option value="south">South</option>
<option value="east">East</option>
<option value="west">West</option>
</select>
<br />
<br />
<label for="name">My closest neighbor's name <br />and address is:</label>
<input type="text" name="nAddress" id="nAddress" value="" />
<br />
<br />
<label for="name">I am located on which side of my neighbor's driveway:</label>
<select name="drivewayD" id="drivewayD" data-native-menu="false">
<option value="north">North</option>
<option value="south">South</option>
<option value="east">East</option>
<option value="west">West</option>
</select>
</div>
<div class="ui-body ui-body-b" style="padding-left:20px">
<!--<fieldset class="ui-grid-a"></fieldset>-->
<!--<div class="ui-block-a"><button type="submit" data-theme="d">Cancel</button></div>
<div class="ui-block-b"><center><button type="submit" data-theme="a">Submit</button></center>-->
<a href="ownerInfo.html" data-role="button" data-transition="slidefade" data-inline="true">Back</a>
<a rel="external" href="mapPage.html" data-role="button" data-transition="slidefade" data-inline="true">Next</a>
<div style="padding-right:20px;float:right"><!--float="left" -->
Step 3 of 5
</div>
</div>
</div>
</form>
</div><!--/content-primary -->
<!--<div style="width:90%;text-align: center;">
<div data-role="fieldcontain">
<label for="name">Name:</label>
<input type="text" name="name" id="name" value="" />
</div>
<center><fieldset class="ui-grid-a">
<div class="ui-block-b"><button type="submit" data-theme="a">Submit</button></div>
</fieldset></center>
</div>-->
</div><!-- /page -->
</body>
</html>