Laserfiche WebLink
4 <br /> .� Request for Reprint of Oversized Documents <br /> q P <br /> or Building Plans and Blueprints <br /> �9kEsxo4`� <br /> Date of Request: <br /> Document Address: 7—OrY1Aawq /vd <br /> Name: <br /> Address: <br /> City: State: 114N zip: .15535 <br /> Phone: <br /> (Work) (Home) <br /> Description of document(s) to be reprinted: Jr "Va x 3C{ ---5k .a.s <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 /> Cost of Prints: 5 <br /> Special Handling Fee: !Z. 50 <br /> Pickup/Delivery Fee -------$10.50 ---. <br /> Subtotal (03.0 D <br /> 6.5% Tax (prints/handling/delivery): 4. 10 <br /> Clerical Fee $ 5.00 <br /> TOTAL 7a• /0 C� II yS <br /> (signature) <br /> �1dd��r Copes 30.25 Pd- ck. //y7 <br /> &F fi I e doCO-Mem <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 />