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(. 7 <br /> SIGNATURES <br /> CITY OF 1 T PLANNING OFFICIAL: <br /> \ 0-0\\VON( dc <br /> (Print Name) PLANNING OFFICIAL(Signature) <br /> \ 4[2--1 5 &cc \- 503S ' M4(0 <br /> DATE ADDRESS ( en-c t TELEPHONE# <br /> * COUNTY PLANNING OFFICIAL <br /> (Print Name) PLANNING OFFICIAL(Signature) <br /> DATE ADDRESS TELEPHONE# <br /> *If necessary,depending upon city/county agreement on jurisdiction outside city limits but within UGB. <br /> G:\FORMS\SEPTIC\Application Packets\S-39 LUCS.doc MC:S-39 rev: 8/10,04/12 <br />