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,¢0�` City of Orono F R CIT,Y USE ONLY
o `rO P.O.Box 66 {..�
.` 2750 Kelley Parkway Date Received�4 ta Time:
`�. Crystal Bay,MN 55323
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� REQUEST FOR PROPERTY INFORMATION
� Internal, City Use Only
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�'roperty Information:
Type: '�esidential ❑ Commercial
Address: ` ��'� ���J�:_- �� ,�
Requestor:
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Name: ���� � C��
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Company(if applicable): ��P�t�,.�'€,���
Address:
City: Zip:
Home Phone: Alternate Phone: ��� �'�—' i� �' ����
Q��stio��r�garding the above noted pro�erty:
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V:\(Permits)\Request for Property Information Form.doc � ,�;�.
�;" Last Updated: August 28,2007
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Amount: $ ��`> ��/
Initials: ��;�
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REQUEST FOR REPRINT OF OVERSIZED DOCUMENTS
OR BUILDING PLANS AND BLUEPRINTS �'
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Date of Request: _ �'� <a ' � i a
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Name: � � / ��r,� �'-C� �- L� - =
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Address: � �% �� ��,�(�„�'`�`��� ��� , �������J�
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City: ��� ��-�-����� State: � Zip: �:�;J���j �
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Phone: (Work) (Home) �l �/ - /�,� �,�'
Description of document(s) to be reprinted: � �� a�� � ' � � �� �
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CHARGES: (the follo�,ving c.�arges are subject to rate changes)
Oversized Documents from Microfilm
The charge far such reprints is the cost of copying service, Messenger service and a minimum
clerical fee of $5.00.
Building Plans and Blu�rints
The charge for such reprints is the cost of copying service, Messenger service and a minimum
clerical fee of $5.00.
All charges must be paid at the time of the request, and are non-refundable. Requests must
be picked up ut the Ci�y offic�s unless other arrangements have been made. If prints are
delivered and �ick�d up by a courier service, the charge for such service is to be paid by
requestor.
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