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City y of El Mon note Pub bloc Works Department Eng gingering Division D 1133 33 Valley Boulevard B El M Monte, CA 91731 9 (626 6) 5802058 8Pe permit #___ ___ ___ Encroachment GRA adingPUBL LIC RIGHTOFWAY

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This form represents the Baton Rouge Government Chapter 5 Department of Public Works.

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The purpose of the form is to report on the activities and budget of the Department of Public Works.

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Information such as project updates, financial statements, and future plans must be reported on the form.

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