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A <br /> O� <br /> O O <br /> Request for Reprint of Oversized Documents <br /> or Building Plans and Blueprints <br /> �9kE8H�4� <br /> i <br /> Date of Request: <br /> Document Address: �(' �� �®/t/��i /�✓/,' f �! �� <br /> Name: cs ���71 V-O 2 : <br /> Address: /0 <br /> City: ,1�2 dx4"/O State Zip: <br /> Phone: 6 2 l —-/ <br /> (Work) (Home) <br /> Description of document(s) to be reprinted: T`Z�o/� < n✓J �iV / /�- <br /> CHARGES: All charges must be paid at the time of the reauestat the time of the request, and are 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: <br /> Special Handling Fee: <br /> Pickup/Delivery Fee ____---$12.00 <br /> Subtotal <br /> 6.5% Tax (prints/handling/delivery): <br /> Clerical Fee $ 5.00 <br /> TOTAL <br /> /(signature) <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 />