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If it's a quatrefoil, then four circles have the same diameter and to be inscribed in the large circle, their diameter have to be equal to the radius of the large circle.
Here, we see the symmetrical shape of four partially overlapping circles at the point $A, B, C$ and $D$ respectively. Connect those points and you will get a square having side equal to the diameter of small circle and that is obviously equal to 6. Let denote the area of the square $ABCD = [ABCD]$.
So, the area of the quatrefoil = $[ABCD]$ \+ The area of 4 semi circles = $6^2 + 4*\frac{1}{2}*\pi3^2$ = $36 + 18\pi \approx 92.549$
And that's your answer.