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+ �. <br /> AlAOUrit: � <br /> InitialS: <br /> REQt1�ST FOR REPRINT UF OVERSIZED DUCUMENTS <br /> OR BUiLDING PLANS AND BLUEPRiNTS <br /> Date of Reque�t: - `TS�►1 . �_� (�� �D ----- ._..—�._ � <br /> Name: �I�t S� f I�C�' � l�0 Ll._5��� <br /> Address: �aa _�.�� �Ym �r�lr�. _�_ <br /> c�ri: �'�0 no _ s�: �� z��: 5�3l� �) <br /> pna��: �wark> � l a - '1��1 - C� 3�...� cHe��� f�I a� �a�-R�Ll g <br /> Desc.7iption of dncument(s) to be reptinted: �, �S____ <br /> CHAR(;�5: (the following �;harges are subject to rsite changes) <br /> l �y.g��Docu�ents frQm Microfilm <br /> ��1," . . , <br /> The ch�r�e for such repcints es the cost of copying servicc, Messenger sernce and a micumum <br /> cIerical fee of $5.t?0. <br /> Buildina Pt�.�nd Blurn^ <br /> The charge for such re�mnts is the cost ��f wpying servic:e, Messenger s�rvicc and a minimum <br /> c�erica! fee of SS.QO. <br /> �„� mu�t be paid at the time of thc rec}uest, and are non-refund�blc. Rc�uests must <br /> bc picked up at the City offices unless other arraagcmcnts have been made. If prints are <br /> dolivered and picked up by a courier service, the c e for such service is to be paid by <br /> requestar. <br /> � <br /> Signature <br />