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Looking at the front bumper, looks like a bunch of trimming.
The entire bumper is cut from top to bottom at an angle. The rear side fender might have a NorCal mod. Either way it's a lot of work to run that offset on a level kit. Def need a body lift with it too
With a tire that isn't so aggressive I think you'd have better luck. I was browsing my local Craigslist and saw a 2001 Tahoe with 20x12 and 275/55/20 street tires. Didn't give much information on specs such as level or stock, but didn't look too terrible... Of course there where no close up pictures.
Got any pics of that truck or link to the ad? I always wanted to see what it looks like.