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calculation of the Licensing Revenue Credit/Charge per the Agreement), and <br />executing the Licensing Support Contract (Exhibit F of the Agreement). <br />Request signed as of this day of , 201_. <br />City of <br />By: <br />Its: <br />To be completed by King County: <br />The County offers to provide the City licensing revenue support services in Service Year <br />201 intended to generate $ (the "Licensing Revenue Target") in additional <br />Licensing Revenue for a total Service Year cost of $ , some or all of which cost <br />may be charged to the City in calculating the Licensing Revenue Charge, as further <br />described in the Licensing Support Contract and Exhibits C-5 (for Licensing Support <br />Cities) and D of the Agreement. <br />King County <br />By: <br />Its: <br />Date: <br />To be completed by the City: <br />The County offer is accepted as of this day of , 201_. <br />City of <br />By: <br />Its: <br />Document Dated 5-29-12 <br />71 <br />