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, � _ �-��>� <br /> � �_��i � <br /> ,� <br /> Amount: $ �= �' <br /> Initials: <br /> REQUEST FOR REPRINT OF OVERSIZED DOCUMENTS <br /> OR BUII.,DING PLANS AND BLUEPRINTS <br /> Date of Request: _ <br /> _� <br /> ; .. ,_. <br /> . <br /> Name: �� �� � � ; �-r �> r ��� �� -�c� ��_ <br /> � . n <br /> Address: r�� '"-�� ' �=�'"�`��� �'���'�� �_ :�. <br /> City: /'� ��'� � � /� State: �",� ����! Zip: �"��"� -��,� �j <br /> ,, � <br /> � _`__. , �; �-,� � <br /> Phone: (Work) (Home) � > �=` / i � ` � ->G => <br /> Description of document(s) to be reprinted: <br /> Crc-�/ 7� ` - �_ ;%--�`� <br /> � <br /> r- � . � �- ,_� i � � ;- �a-�,�� <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 char�es must be paid at the time nf the request, and are non-refundable. Requests must <br /> be picked up at the City offii;es 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 /> •t C C � <br /> � / _ � . ���) ,�c c� ���� ' �/� <br /> / �_: ').,{ j 1� � <br /> �' ���1 �{� —����%'�,�����,,�� <br /> � f � �-� t �i / � �. <br /> � �G�r u�l �i✓�'1 f-�;� Signature <br /> J <br /> C �� z��� cz� -�- `cc . �-`�� �'�. <br /> � / �_ y <br /> j ct_�, � <br /> X:�APPS\WPWIN60\WPDOCS�DEPCLERK�FOILv1S�PRINT.FRM , , i-' <br /> .__ ;;R ; ;,, i' ��, �,.�� <br /> � , ��` � �� � <br /> \v <br /> � ! , �`� � � <br /> �5 �r � � 8- �5 � . o <br /> , , � �—, � c� . <br />