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4 <br /> 01: <br /> Q <br /> --- <br /> A - 3• �..- ,, Request for Reprint of Oversized Documents <br /> l',�� r`�, ►�',� ,��ti" or Building Plans and Blueprints <br /> kEsxo4 <br /> Date of Request: 7/ 2_ 0..--) <br /> Document Address: /0 6 0 liti' l4Ltirj4 <br /> Name: t 6 `(-\ <br /> Address: l trol LA..) AA,U,IS4- l-' <br /> City: 01 \f �' State: /' i) 3b <br /> Zip: c5 <br /> Phone: tel 2 -l5 1 -- It ' ' cAJ"`12,_ <br /> (Work) (Home or Cell) <br /> Description of document(s) to be repri ted: i 0 vs--c- Pf* ft) r' 0 0 l,/. diflu-A• <br /> rt;P-e� e) (re oen , ., >• ti's Q copy y <br /> V <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 /> 1St �s _ _�, s <br /> Cost of Prints � @ i ea. = <br /> Additional Prints `7 @ acea. = /51 (10 <br /> Special Handling Fee '")..� - <br /> Pickup/Delivery Fee $15.00 <br /> Subtotal / Q 9' . ("S <br /> 6.5% Tax (prints/handling/delivery): —1 . <br /> -a5$5.00 ea <br /> Clerical Fee $ 5.00 <br /> TOTAL / 2 /(L,A A _ s <br /> .. <br /> sign. e) <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 />