This government document is issued by Bureau of Street Services for use in Los Angeles, CA
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https://www.google.com/url?client=internal-element-cse&cx=007462660083790179891:6ewiwltyzge&q=https://streetsla.lacity.org/sites/default/files/tranzito_2_volume_3_forms.pdf&sa=U&ved=2ahUKEwiI647L3qr8AhWhi_0HHZZ9C80QFnoECAcQAg&usg=AOvVaw1y-CGKWzhVQiks-1vwY-eV