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n6tcMIT NO . ' a4� <br /> L� APPROVED: r� .T•r CITE' OF TRACY <br /> GRADINGI PEP-MIT <br /> PROJECT_ NAi".i: : . <br /> GENERAL CONTRACTOR:(��,C ) L(r;- it1 �ES� L N 1` Znl1 �11rY1�c�l C x=12U�Ct <br /> SUBCONTRACTOR: (10 / A <br /> I . Description of land on which the proposed work is to be <br /> done . Street lIaddress , tract, lot number, etc . <br /> IS � SC-- i? A✓l-- Y� L. i-L �Pr vAC± <br /> II . Indicate the use of occupancy for which the proposed work is <br /> intended: rin)-i <br /> III . Give the estimated quantities of work involved - cubic yards <br /> to be moved, etc . C- <br /> IV. Identify and describe work covered by this permit <br /> P k--ZL1 w1 C y t= <Cce r c i � <br /> J <br /> V. Additional items called for by City Engineer: YES NO <br /> A. Plans l <br /> S . Specifications <br /> C. Bond �— <br /> D. Geology <br /> E . Soil Engineering Report 17 <br /> (compaction tests ) <br /> VT_ . Control dust daily and keep street clear of dirt, debris and <br /> mud. <br /> VT_I. Any additional conditions , comments , and/or recuirements <br /> Sid-nature o= pe--iittee Acknowledging Date <br /> Ccndit_ons Stated. <br />