Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
p <br /> 's s <br /> Request for Reprint of Oversized Documents <br /> 'I' ti <br /> r► ,';�� �� or Building Plans and Blueprints <br /> 9kESHdg' <br /> Date of Request: ;r -/!- 0) <br /> Document Address: <5Y5 AZ-1:>tin /Fe/ <br /> Name: /f /FJ/ <br /> Address: /5- IS/c.- fzth. I7� <br /> City: W? ///0 State://// Zip: 53- 2 <br /> Phone: 95.2- 923` 3 fYo? <br /> (Work) (Home) <br /> Description of document(s) to be reprinted: /'a tiv ej <br /> CHARGES: All charges must be paid at 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: /- oc <br /> Special Handling Fee: <br /> Pickup/Delivery Fee $12.00 <br /> Subtotal 3 Go <br /> 6.5% Tax (prints/handling/delivery): _ • IS <br /> Clerical Fee $ 5.00 <br /> TOTAL <br /> rze X"/ <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 />