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� - <br /> . , <br /> Y O� <br /> O��1+\` O <br /> ,� �i �,�J� � � Request for Reprint of Oversized Documents <br /> �'� �� '�''��. �� or Building Plans and Blueprints <br /> r ��-� k��� � <br /> �kESH�4 <br /> Date of Request: ,��,�( �y, z OCX� <br /> Document Addt-ess: %'`i;AG� ��vr� ��4�tiT �c�'�. <br /> Name: L�.a�v���' �(Y�� /�Cti�`�- <br /> ,� r , <br /> Address: 33`�� ��C� ��4L� S� � C�c� il� � - <br /> City: �'�1� �(�-� State: �(,�. Zip: ��.���v <br /> Phone: ��`j Z �-�?S ��7 I '� G�j`��- - L( ��- L,��So1- <br /> (Work) (Home) <br /> � , ��x �7 <br /> Description of document(s) to be reprinted: � �aor P I�.►� s ,�- �Svrve�..� <br /> CHARGES: All charQ.�es must be paid at the time of the request, and are non-refiindable. <br /> Requests inust 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: �C �, �'� `�.�, v0 <br /> Special Handling Fee: ��-.S^O <br /> Pickup/Delivery Fee _______$10.50 ____ �U. 3" o <br /> Subtotal ��-�, �r� <br /> 6.5°/o TaY (prints/handling/delivery): ,3, o� <br /> Clerical Fee $ 5.00 ;, o 0 <br /> TOTAL J 5'� ��S <br /> �,�% C✓� �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 />