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._�.� .��� <br /> �O� <br /> � ���{,�` � <br /> ,� �� ,� Request for Reprint of Oversized Documents <br /> � .�. .c� ti <br /> �� �.��� or Building Plans and Blueprints <br /> �kESHO�' <br /> Date of Request: '� � � lG ��-- <br /> DocumentAddress: 222� �t�"t�C�l �iLt'�C� <br /> Name: t-�b��� �J�r'�1.`j <br /> Address: �� I l �kL�TL�v�} �V� 5 . <br /> City: 11/�l��P��'OZ.lS State: r"�� Zip: 7� �j <br /> ��� ���� <br /> Phone: ('412- C9-LZ- � �'I�`�t��i' <br /> (W ork) (Home) <br /> Description of document(s) to be reprinted: {-�t7U�� PI,A�iJS� ��i����pF�j <br /> 2 c���n fi s �� c;�c_h o �- - : n�u�a e� i 7�C Z Z— <br />� � <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 /> �- ��-c.L" 3 Z.S� <br /> Cost of Prints: i�7 x 2 Z � . �� <br /> Special Handling Fee: lo"��S'� <br /> Pickup/Delivery Fee _______$10.50 ___ <br /> Subtotal S�g, 50 <br /> 6.5% Tax (prints/handling/delivery): �:$O <br /> Clerical Fee $ 5.00 <br /> TOTaL � -7, 3 G <br /> � <br /> ignature) <br /> 2750 Kellcy Park�vay, P.O. Box 6G,Crystal Bay, MN 55323 <br /> Phone: )52-24)-4600/Fax: 952-24)-4616/www.ci.orono.mn.us <br />