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Attachment 3Sheet 1 of 1County of San Luis Obispo PUBLIC WORKS DEPARTMENT CONTRACT CHANGE ORDER NO. 5Project Name: Arroyo Grande Creek Waterway Management Project Phase II Flood wall & Slope Stabilization

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Attachment 4 is a form used to report county specific information.

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Individuals or entities that have activities or sources of income in that specific county are required to file attachment 4.

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Attachment 4 should be filled out with accurate and detailed information about the county specific activities or income sources.

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The purpose of attachment 4 is to provide the county with information regarding taxable activities or income within its jurisdiction.

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Information such as income generated in the county, business activities conducted in the county, and any applicable taxes paid to the county must be reported on attachment 4.

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