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� <br /> Y'O� <br /> � ��\^ 0 <br /> ,� ���: ,, Request for Reprint of Oversized Documents <br /> �'� ` �'n ���' or Building Plans and Blueprints <br /> L9kESH0�'� <br /> Date of Request: l� 1 � J �}L� <br /> Document Address: _� ��.��%� �`ti.�-�NC.�_{ (�,-�, ;(� 1Q^���J <br /> Name: ��.���(� <br /> Address: �U�� ��,,�� _ 1��� �����-�.�1 :�' l (1(J <br /> City: �-'��I�lt��-�PC'��15 State: �� Zip: �J�J� ��j <br /> Phone: , � � � '� v���S ' Z� " �� <br /> � � �� � ���Z � � � � �}Ss�' � <br /> (Work) (Home) ,�� �, �r� � v S <br /> -- _ _ <br /> �� <br /> Description of document(s) to be reprinted: _(��--{� QQ�,�N s'S ��-� <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: ��, t�� � �i � �. �� � <br /> Special Handling Fee: a,5, U� <br /> 6.5% Tax on prints and handling fee: °7 ?C� <br /> Pickup/Delivery Fee $10.50 <br /> Clerical Fee $ 5.00 <br /> i � 5. ��/ <br /> `� . <br /> C <br /> (signature) <br /> , <br /> 2750 Kelley Paric�vay,P.O.Box 66,Crystal Bay,MN 55323 <br /> Phone: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us <br />