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PERMIT IT FI E]LD CHECKLIST <br />PM#: 45419759 LOCATION: 26320 N 99 Frontage Rd, <br />Acampo LAN ID: NRD2 Date: 10/21/22 <br />PROJECT TYPE: New Business[-] Leak❑ Corrosion® <br />G4E❑ Emergency❑ Other❑: <br />• If emergency, is work completed already? Yes❑ No❑ (Date)? <br />AGENCY: City❑ County® CalTrans® Other❑: <br />EXCAVATION DIMENSIONS (W x L x D): 1'x1'x1' <br />PAVEMENT REMEDIATION: Asphalt El Concrete❑ Both❑ No Paving® <br />• Sidewalk Closure Required? Yes❑ <br />No® <br />• Bike Lane Closure Required? Yes❑ <br />No® <br />• Street Closure Required? Yes❑ <br />No® <br />• Lane Closure Required? Yes® <br />No❑ <br />• Parking Closure Required? Yes❑ <br />No® <br />• Any Restriping Required? Yes❑ <br />No® <br />• Traffic Signal Loop Involved? Yes❑ <br />No® <br />• No Parking Signs Needed? Yes❑ <br />No® <br />• Other Traffic Impacts? Lane closure on Frontage Rd only <br />• Other Comments? County and Cal Trans permits needed <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, NEAREST CROSS STREET, CURB OR LANDMARKS) <br />\\ <br />