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� � � �g� �° � � � � d � <br /> -� D <br /> MAR 2 0 1989 <br /> I2E2U�ST FOR RECORDS CITY UF LYL•RE'j'T' <br /> CITY CLERK' S OPPICE p���+n <br /> EVERETT, IaASHIP]GTO[d B �'pt <br /> Print ��,, L. ��� �.-. <br /> Na�e ` Yti1�2�v1E / I�a29�TEi�/ SignaturP�1„� ti � , - � <br /> . <br /> Address 'LF`3 \ � .�ivTElc ��v �7�'f <br /> Telephone <br /> L�•<•Z �.� � ✓t9 . �1��y NumUer 35 S -0"7�(J` <br /> Records /� <br /> Requested ��7iNu �c�5 �X�Jn� �;v t � 'r 7 R- l/W 2 iA �t�` ��•�� ll / /�1.�1' <br /> _�- <br /> � k` �N „ c�rs � ��� /CEi�-e, �/ <br /> . I <br /> � <br /> Recvdstby �� cJacl���/��1c Date �-/�- f^`( Time �/'� S �sl. ' <br /> • ignature <br /> — — — — — — — — — — — — — — — — — — — — — <br /> * * Request Received � ��� II <br /> • forwarded to IIY , <br /> Department <br /> ** Response Due Date I <br /> ** Department receiving the request should attach inforr�ation requested i <br /> or a statement as to why the record is not being dispensed and � <br /> return to the City Clerk for issuance to requestor. (Ord. 313-74) il <br /> TION TAI:GN ON RECORD ����,� II <br /> I�C � ��""' I <br /> REQU�ST e �Y�, <br /> ,�,D�O/�. �/ <br /> / U <br /> '� No. Pa es Z Certified <br /> Delivered ate l�;oU2�7tt 9 <br /> Exempt _ ime No. Copies <br /> Attachments g�ployees Sign. <br />