Guys around here bring em up all the time. it's really no biggie. Idea is, to keep it simple...
go to a wrecker and buy a set of normal sized tires. toss them on, and 90% of your issues will disappear. get it in Canada, and then make the final couple mods to make it legal here (speedo needs to be in KM not miles prevalent), seatbelt, if applicable), etc. little things.
Once it is a legal truck here, you can mod it to your delight.
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