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/CJ <br />ExpenseJob -Site Information (for non-estimated work)' <br />Name &Lan ID:,~G"'-..LI,,-I,)•....•.V_7,--_ <br />05-0'/()I I:r',',\.'1-,~'?rS;cle (,t.~!Jr{O,iJ l<dAddress:I ',)"",,1])CIt FE,.,XP./\.'E:.Ct-='",ltlfv'tlirJc.v <br />City or County name:..•.n~-=c\~<....=+/~_ <br />CPA::s 1/2,-9 <br />CPA map attached?Ii\YES 0 NO <br />Description of work needed:I/LJS/u...11 ?--32 u'O>llkJC/Ih)C'de~Ck'h,E= <br />/.'~,)7 4 'F c.:f -So'<u J (0 ~_t:?/I/...-f"(;Il.'C cf"l <br />,..'co ,,_,r Crvl? <br />Work Location Sketch <br />.,,•!.__.__.._------._---~------_._--._-----------------_.:'._._-------------------------..._--------------------.---_. <br />II~;,-->-<8~o'-. <br />~..'. <br />Excavation Location Sketch Requirements: <br />1:Providedimension from cross street 1and cross street 2 <br />2.Dimension should reference as back of walk,edge of pavement or center line <br />3.Indicate North Arrow