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Amount: $ ��`> ��/ <br /> Initials: ��;� <br /> � <br /> � : <br /> REQUEST FOR REPRINT OF OVERSIZED DOCUMENTS <br /> OR BUILDING PLANS AND BLUEPRINTS �' <br /> � <br /> ^ <br /> .� <br /> � <br /> T <br /> Date of Request: _ �'� <a ' � i a <br /> � <br /> � <br /> � <br /> Name: � � / ��r,� �'-C� �- L� - = <br /> - m <br /> i � , , <br /> Address: � �% �� ��,�(�„�'`�`��� ��� , �������J� <br /> �� , <br /> � � <br /> City: ��� ��-�-����� State: � Zip: �:�;J���j � <br /> � ; <br /> Phone: (Work) (Home) �l �/ - /�,� �,�' <br /> Description of document(s) to be reprinted: � �� a�� � ' � � �� � <br /> ; <br /> CHARGES: (the follo�,ving c.�arges are subject to rate changes) <br /> Oversized Documents from Microfilm <br /> The charge far such reprints is the cost of copying service, Messenger service and a minimum <br /> clerical fee of $5.00. <br /> Building Plans and Blu�rints <br /> The charge for such reprints is the cost of copying service, Messenger service and a minimum <br /> clerical fee of $5.00. <br /> All charges must be paid at the time of the request, and are non-refundable. Requests must <br /> be picked up ut the Ci�y offic�s unless other arrangements have been made. If prints are <br /> delivered and �ick�d up by a courier service, the charge for such service is to be paid by <br /> requestor. <br /> S �w�� @ ��. s� �u��, �3�,_��: ^. <br /> �—(C�c� � '� C�� `� '` <br /> �__-- Si nat <br /> �p 3 �,/. �-� <br /> GL-2���12����� (�. a� <br /> �.�.� ,;,vo <br /> � , � / <br />