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Amount: $ �"L S- y� <br /> Initials: � <br /> REQUEST FOR REPRINT OF OVERSIZED DOCUMENTS <br /> OR BUILDING PLANS AND BLUEPRINTS <br /> / <br /> ; <br /> Date of Request: _ J� l����� <br /> ,3Go ��.�77t ��� ,e'� .% <br /> Name: J/�UC` JO/-�/f�S�iL /r%G�,,tiv" /��.� S�=3��/ <br /> Address: ��' �S �__� �/ST�'D�Z/ L'��'�C E- <br /> Lity: ✓��v/� J State: Zi�: <br /> Phone: (Work) ��-�` >� 7� (Home) ���-? �c-'c` ,7 <br /> Description of documer.t(s) to be reprinted: U���'�"�''`� i����c-�s�� ���:7�.5 <br /> ��,r= ;-`'���sE � G%�'�6�-`'-r j 7�i�,E�=Ss �3Ov /�1�jS��C= �v <br /> CHARGES: (the followin� charges are subject to rate chan�es) <br /> Oversized Documents from Microfilm <br /> The chasge for such reprints is the cost of copying service, Messen�er servi�e and a minimum <br /> clerical :ee of $5.00. <br /> Building Plans and Slueprints <br /> The charge for such reprints is the cost of copying service, Messen�er service and a m.ini��um <br /> clerical fee of $5.00. <br /> All charaes must be paid at the time of the request, and are non-refundable. Requests m.ust <br /> 'oe picked up at the City offices unless other arrangements have been made. If prin±s are <br /> deli��ered and picked up by a courier service, the charge for such service is to be paie� b;� <br /> requestor. <br /> Signature <br />