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Expense Job — Site Information ( for non-estimated work) <br /> Pig# 4t`4 1,001(0 - r-10 C6WtZDL. t4tw1w <br /> Name& Lan ID: Y1 %KF_ NiLtth- MY,N_�(z6w"A"J) <br /> Address—Ibot S. cAKhLL_ AIJE <br /> City or County name: �W('Obtj <br /> CPA: <br /> CPA map attached? ii YES o NO <br /> Description of work needed: &UPA)r- j _KJ _A5r_NL:EA6"5.5 b:XorA too ( <br /> CAAkDU— AVE <br /> Work Location Sketch <br /> M&AC A1E'_ Eo? <br /> T <br /> 12 <br /> -4- <br /> ------------------------------------- --------------------------------- -------------------- <br /> 372 <br /> -F� 015 <br /> Excavation Location Sketch Requirements: <br /> 1. Provide dimension from cross street I and cross street 2 <br /> 2. Dimension should reference as back of walk,edge of pavement or center line <br /> 3. Indicate North Arrow <br />