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. , � <br /> Y O� <br /> � �i � <br /> '-��� Re uest for Re rint of Oversized Documents <br /> � � �.: �, 9 P � <br /> �'� �� �� or Building Plans and Blueprints <br /> ��kEsHo�'� <br /> Date of Request: �� � � � � `=-'�' S� <br /> Document Address: � � S L �z_� ST <br /> Name: _ �� �'�`� C���� ?-l��� <br /> Address: �'7�-' (:�> �. � '� �= �7 <br /> City: r���'L� r� ��-,-� � �- L��o �`� State: �'� r� Zip: � ���:: ��-7 <br /> Phone: �" � � �� 3 � � `-1 � �- ----- <br /> (Work) (Home) <br /> Description of document(s) to be reprinted: j ��;�h G �' �� ;�y-���;.� <br /> ' 1 /� � / ��� �.'J�c�� L K: �� � 1 � <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: 7���y � c�;; � C-�. C�o <br /> Special Handling Fee: I� . S O <br /> Pickup/Delivery Fee _______$12.00 ____ <br /> Subtotal �ca, ,5 D <br /> 6.5% Tax (prints/handling/delivery): 3 • Sy <br /> Clerical Fee $ 5.00 <br /> TOTAL � .���y <br /> ��Ci�.�- 1 �--� � <br /> (signature <br /> 2750 Kelley Parkway,P.O.Box 66,Crystai Bay,MN 55323 <br /> Phone: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us <br />