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� a <br /> 7 O� <br /> O :i� O <br /> ''`� � Re uest for Re rint of Oversized Documents <br /> ,� t �����, ,, q P <br /> �'� � � �'����,�„ �� or Building Plans and Blueprints <br /> L�kESH�4� <br /> Date of Re uest: � � � � � � �l� <br /> q <br /> � �� � �' �n �'�lC2 <br /> Document Address: � A `-� `� ��' K--C%� <br /> Name: - \ �. -' <br /> Address: `^, <br /> `� �"'1�, <br /> . . ,� { , . ., , <br /> City: � � State: � r t I v Zip: �-� ` .�-� ' <br /> Phone: (\� �.� �� � � � ��-� � --C� '1 ���� � �G ?j -__ y �� -_ �F��(� <br /> (Work) (Home or Cell) " <br /> Description of document(s) to be reprinted: �- �(� � ��� ���� <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 anangements have been made. The <br /> charges for reprints of oversized documents and building plans/blueprints are based on the <br /> following: ��, t�� _.1_. ` �I ��� � � <br /> �� � __ _ �`-C� <br /> Cost of 1't Prints � )ea. _ - - <br /> A � `�--e�:-_ <br /> Special Handling Fee �'�— 1 �_,�� t � � S � <br /> Pickup/Delivery Fee ______��5.______. � j�_ �� G <br /> �ubtotal ..]y - �� <br /> 6.5% Tax (prints/handling/delivery): ` s� . �"�(r- c,!/- S'U <br /> �C _—_�--�5.�0-e� _ � _ �� <br /> Clerical Fee ---- �$=5.00=-' �� ��Z� <br /> TOT�L ,�.� . " (v S <br /> --_. � �l <br /> < .� <br /> (sig e) _____�. <br /> �,' <br /> 27�0 Kelley Parkway,P.O.Box 66,Crystal Bay,MN 5�3?3 <br /> Phone: 952-'_�9-4600!Fax: 9�'_-249-4615/�a��.�,^.x,.ci.arono.mn.us <br />