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,► 1 <br /> i <br /> • <br /> �O� <br /> O O <br /> ,� , ,, Request for Reprint of Oversized Documents <br /> '��� ����' or Building Plans and Blueprints <br /> '�r�o4 <br /> Date of Request: �" z 7—� -T <br /> Document Address: �5 F�—L� <br /> Name: � <br /> Address: 75 s7'��� <br /> City: ��.2, � State: Zip: <br /> Phone: . <br /> (Work) (Home) <br /> Description of document(s) to be reprinted: �G..e P/a-K.d�--. <br /> CHARGES: All char�must be paid at the time of the request, and aze non-refundable. <br /> Requests must be picked up at the City offices unless other arrangements have been made. The <br /> charges for reprints of oversized documents and building plans/blueprints are based on the <br /> following: <br /> � Cost of Prints: 3�.oO <br /> Special Handling Fee: /2.$a <br /> 6.5% Tax on prints and handling fee: 3. /S <br /> Pickup/Delivery Fee $10.50 <br /> Clerical Fee $ 5.00 <br /> (signature) <br /> � <br /> r:' <br /> 2750 Kelley Parkway,P.O.Box 66,Crystal Bay,MN 55323 . <br /> Phone: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us <br />