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�O� <br /> O �� O <br /> � �,�, <br /> >��� �,, � Request for Reprint of Oversized Documents <br /> � ' �,�,. G� or Building Plans and Blueprints <br /> ��kESH��`'� <br /> , <br /> �Date of Request: � ��l/• /�, 2�� <br /> Document Address: ,� � 2 � � S C �� C� r�-�C <br /> Name: � c�� �-'�-,�c k �� �� -���,5 <br /> Address: �1 2 � � ����� S �� o �� �:� � �x., <br /> City: �_�%��Zc:�-��� State: aL.�Lti� Zip: `�`�3`t 1 <br /> Phone: Q J"2- -�1.��'' /�/L�'C% ��5� � �7/ yl`r� <br /> (Work) (Home) <br /> � C�il ;�. iZ 325CA16 � <br /> Description of document(s) to be reprinted: �'/���� �lctn s <br /> 1 17`x Z�2 � C �nU c�F �."��c �i �� 23 �,�,-•���� <br /> CHARGES: All char�es 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: �� � �_' (� � �u � ��� 5 U <br /> Special Handling Fee: 02 J� C� U <br /> Pickup/Delivery Fee _______$10.50 ___. <br /> Subtotal I �%'�j � �j0 <br /> 6.5% Tax (prints/handling/delivery): j� e O�2-- <br /> Clerical Fee $ 5.00 <br /> TOTAL ���� U� <br /> � <br /> (signature) <br /> '� _ �, J <br /> 2750 Kcllcy Parkway, P.O. [3ox 66,Crystal Bay, MN 55323 <br /> Phone: 952-249-4600 i Fax: 952-249-4616/www.ci.orono.mn.us <br />