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Expense Job — Site Information ( for non-estimated work) <br /> ���ScSly DcWuc-Art 1—or— <br /> Pili# #23 �G 7 5-a �o 74/9 <br /> Name RA, Lan ID: ^ Gly <br /> Address: C, llft y 49 ` <br /> City or County name: <br /> CPA: <br /> CPA map attached? o YES ❑ NO <br /> Description of work needed:_ �y C 0e, <br /> Work Location Sketch <br /> ; <br /> Q ; <br /> P <br /> 2 <br /> --- --------------------------------- <br /> M r4i N S i. <br /> FT_ <br /> i • <br /> Excavation Location Sketch Requirements: <br /> 1. Provide dimension from cross street 1 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 />