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.4 � <br /> . <br /> Amount: $ �0 7� 1 S <br /> Initials: <br /> REQUEST FOR REPRINT OF OVERSIZED DOCUNIENTS <br /> OR BUII,DING PLANS AND BLUEPRINTS <br /> Date of Request: /" 27� D � <br /> ���ec'.P �G�-L�„b <br /> Name: <br /> Address: 7.� ��-b bs �� � ►� <br /> City: �-.D� �i�� State: � Zip: �J'�3�(� <br /> Phone: � rk) 0 � j� � � r�-`�""" (Home) �� 2- Tv � — f � � � <br /> �v.'v".,�5 <br /> Description of document(s) to be reprinted: �d�2 �l �� <br /> CHARGES: (the following charges are subject to rate changes) <br /> Oversized Documents from Microfilm <br /> The charge for such reprints is the cost of copying service, Messenger service and a minimum <br /> clerical fee of $5.00. <br /> Buildin� Plans and Bluepririts <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 at the City of�ices unless other arrangements have been made. If prints are <br /> delivered and picked up by a courier service, the charge for such service is to be paid by <br /> requestor. <br /> � , ���� <br /> Signa re <br /> X:\APPS\WP WIN60\W PDOCS�DEPCLERK�FOR,�iS�REPRI�I'T.FRM <br />