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Expense Job -Site Information (for non-estimated work) <br />PM /I Y 2.~"I -5 '1 L5"" <br />Name &Lan ID:.G-<A.S jleLcddeNOS C rII~7 <br />Address:9JeaJ t£,tc@;I'JC2 <br />City or County name:...•U'-'Y:'-<OA.>oc.-1-J------__ <br />CPA:3 I7/-r <br />CPA map attached?0 YES 0 NO <br />Description of work needed:I rVS ro:ll 3 -iJ.;Lb o..rJc)des DrY G-""S fV\o,,;1\J <br />ih}If'X 8 I (]e,It bole @.'1,),(0 7 <br />Work Location Sketch <br />t 1(\tAI., <br />I <br />~.I-1'J r-I <br />~ <br />.G>p I <br />~horro-i 1I:Je M I K <br />Cc f --~II------~--~--_._--- <br />1.'1'~II~'8'10',1,I..,l <br />bOP <br />G,..<, <br />',1 .,Z, <br />f <br />'1'••.B'I I <br />I <br />'nH I <br />Excavation Location Sketch Requirements: <br />1.Provide dimension from cross street 1 and cross street 2 <br />2.Dimension should reference asback of walk,edge of pavement or center line <br />3.Indicate North Arrow