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�O� <br /> O O <br /> i "�•g <br /> ,� �.��,.��- �, Request for Reprint of Oversized Documents <br /> �'� � � �,� or Building Plans and Blueprints <br /> ��kESH04'� <br /> Date of Request: <br /> Document Address: <br /> Name: <br /> Address: � � �1 � ���hs �'�' �. <br /> City: State: Zip: <br /> Phone: <br /> (Work) (Home or Cell) <br /> Description of document(s) to be reprinted: <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. <br /> The charges for reprints of oversized documents and building plans/blueprints are based on <br /> the following: <br /> Cost of l s� Prints �_@ $ � �ea. _ � 7 �S <br /> Additional Prints @ $ ea. _ <br /> Cost to Scan ��_@ $ 5.00 ea. = I 5�� �n <br /> Special Handling Fee ��D•�n <br /> Pickup/Delivery Fee 17.50 <br /> Set-up Charge 20.00 <br /> Energy Charge 2.39 <br /> Subtotal ��3 Z, S"�{ <br /> 7% Tax 'Z3•2� <br /> Clerical Fee 5.00 <br /> TOTaL 3�0, 8 L- <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 /> I� <br />