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�o� <br /> o �� o <br /> ��� . <br /> a ���' � �, Request for Reprint of Oversized Documents <br /> ��: <br /> �'���� ���" ��� �,� or Building Plans and Blueprints <br /> ��� <br /> 9kESH��' <br /> Date of Request: �� ���U � <br /> Document Address: � � �CX �1-��^- � � <br /> Name: ���.i,���5 � i �� �6�- <br /> , <br /> Address: _ C1�;� � k -�.f��- �-� <br /> � <br /> City: � Gti-p State: � �'� Zip: 5��f � <br /> '�-�'Phone: �I't ld' �3�� — �`���. �1� � �7� ' S'�Ce (p <br /> �� ��w (�l�e�� ��� (Home) <br /> ��a-�' Description of document(s) to be reprinted: � ��-�-a� <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 ls� Prints s @ ��� ea. _ �• S U � <br /> Additional Prints @ ea. _ � ��� <br /> Special Handling Fee /�- -{6 C� � . � <br /> Pickup/Delivery Fee _______$15.00 ��f `� ' <br /> ---- � . <br /> Subtotal 30. va � �, <br /> 6.5% Tax (prints/handling/delivery): /• `1.� <br /> Cost to Scan �@ $5.00 ea. _ � ' °ti <br /> Clerical Fee $ 5.00 <br /> TOTAL � � �• �s� <br /> � <br /> (signature) <br /> 2750 Kellcy Parkway, P.O. Box 66,Crystal Bay, MN 55323 <br /> Phonc: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us <br />