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1 <br /> N <br /> (11/89 ) <br /> Amount: $ RECEIPT: <br /> Initials <br /> i T'v f?t� :?��f aAir r <br /> 141! e ui �e�virv <br /> lLilY,r'7t(�LL L'��21.•L <br /> REQIIBST FOR REPRINT OF OVERSIZED DOCIIMENTS OR i,:�;�t%ilv�%C%i%v n <br /> BOILDING PLANS AND BLUE PRINTS �?i Gi;� ;s,,'� <br /> %•i.iE��n� 7t a� �t <br /> � L•tIL4�1 !L t�JaiL' <br /> , °'•F'1't�t t.i!_%�LJ!�f�:; �'!��( <br /> 1iLL•L1t 1 !f I!TlSf !VU <br /> tr':tur�?ii r' trii r%�4 T;,z,;,; <br /> Date of Request: E� � n�.�t���� +��v� �;c�� ,t:.•r� <br /> .. :� :,- <br /> I �i�,��i-: <br /> Name: ^��D t"1� �L�"I�C�� Phone: �t� 1 � � �3 .. <br /> Address: � J��0 S ���{���OC�t� �� �wor3�-, Z�JVI�-s�_ <br /> home <br /> City: ��..C� � � <br /> State: � � Zip: �jS��, � <br /> ��---�2�� ��.-�s� <br /> Description of document(s ) to be reprinted: ��5� ��l�i(�j� <br /> CHARGES: (the foliowing charges are subject to rate changes ) <br /> Oversized Documents From Microfilm <br /> The charge for such reprints is 2.50 each. There is an <br /> additional $10.00 charge for pickup and delivery. -� ��x <br /> Building Plans and Blueprints <br /> The charge for such reprints is $0.12 per square foot with <br /> no minimum charge. Reprints will be made at: Engineering Repro <br /> Inc., 13700 lst Ave N, Plymouth, MN 55441. Telephone: 473-2902. <br /> All charges must be paid at the time of the request, and are <br /> non-refundable. Requests will require a minimum of three ( 3 ) <br /> working days to fill , and must be picked up at the City offices <br /> unless other arrangements have been made. If prints are <br /> delivered and picked up by courier service, the charge for such <br /> service is to be paid by requestor. <br /> S ature <br /> J <br />