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1 4 <br /> �o. o <br /> A - , Request for Reprint of Oversized Documents <br /> ��' or Building Plans and Blueprints <br /> 9kESH0i� <br /> Date of Request: 8725/03 <br /> Document Address: /DO 6 W/ id AU r'L'7 - 7 . <br /> Name: d(`CL(L' SC',Er.b --- <br /> Address: /14//5 VaJ.l y Or" <br /> City: et%' S State: MA) Zip: 5537'/ <br /> Phone: 7b3 - V &/ 2 - 830 - f VCO <br /> (Work) e o a <br /> Description of document(s) to be reprinted: 3 stts o-I ,5 akcj <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'/. 7 b <br /> Special Handling Fee: /2. 50 <br /> 6.5% Tax on prints and handling fee: 4/. 3 <br /> Pickup/Delivery Fee $10.50 <br /> Clerical Fee $ 5.00 <br /> 7a7�t L— 87. b 4,0 <br /> see atfac�eo( <br /> (signature) <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 />