HomeMy WebLinkAboutrequest for reprint of oversized doc. Amount: $ �"L S- y�
Initials: �
REQUEST FOR REPRINT OF OVERSIZED DOCUMENTS
OR BUILDING PLANS AND BLUEPRINTS
/
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Date of Request: _ J� l�����
,3Go ��.�77t ��� ,e'� .%
Name: J/�UC` JO/-�/f�S�iL /r%G�,,tiv" /��.� S�=3��/
Address: ��' �S �__� �/ST�'D�Z/ L'��'�C E-
Lity: ✓��v/� J State: Zi�:
Phone: (Work) ��-�` >� 7� (Home) ���-? �c-'c` ,7
Description of documer.t(s) to be reprinted: U���'�"�''`� i����c-�s�� ���:7�.5
��,r= ;-`'���sE � G%�'�6�-`'-r j 7�i�,E�=Ss �3Ov /�1�jS��C= �v
CHARGES: (the followin� charges are subject to rate chan�es)
Oversized Documents from Microfilm
The chasge for such reprints is the cost of copying service, Messen�er servi�e and a minimum
clerical :ee of $5.00.
Building Plans and Slueprints
The charge for such reprints is the cost of copying service, Messen�er service and a m.ini��um
clerical fee of $5.00.
All charaes must be paid at the time of the request, and are non-refundable. Requests m.ust
'oe picked up at the City offices unless other arrangements have been made. If prin±s are
deli��ered and picked up by a courier service, the charge for such service is to be paie� b;�
requestor.
Signature
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PAL�SOK FAX �F(b I 2) 557-�1295 .-
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'lO�AL NIIHI3�R OIt SIICL�S ZNCLLTDING COVCK S1��T l _,�
73809 IfVPUSTRIAL PARK �LV�. • PLYMOUTH, MN 55447 • PHONE (6121 557-9742 • FAX 557-1295
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