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#O4 <br /> ..`Z•;,ti ,� Request for Reprint of Oversized Documents <br /> e4. �b <br /> '��� ''AM w°~� or Building Plans and Blueprints <br /> Date of Request: 8-2S-D3 <br /> Document Address: 1606 Leri/n/h c)rS71- Tr, <br /> Name: Cr'aj •SGh e r, j e r-- <br /> Address: ) NIS 5 Va,1 l e j Or <br /> City: OW P.r.S State: A/ /\i Zip: 5 53 <br /> Phone: 3- 1-t - 00 4012.- 310 -g'-(C0 <br /> (Work) efne} eo t <br /> Description of document(s) to be reprinted: 3 Sets o-i 5 5 ki2- S —Gz—u <br /> 3 `J 5 a-1 5urvel <br /> urro <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 /> _ 5'1.70 <br /> Cost of Prints: L l 6' g. . 5`1. 76 <br /> Special Handling Fee: /2.S-v vit,Rap ) a S 0 12, 56"i---i. <br /> 6.5% Tax on prints and handling fee: S - .S `i 3(. 1/ 36 <br /> Pickup/Delivery Fee $1-0;50- -/o,TO /0, 5 <br /> Clerical Fee $ 5.00 c D � 3-, 00 <br /> S . <br /> 7. 0 :, <br /> , ji,_ <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 />