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SIGNATURES <br /> CITY OF GC$,f-e-S PLANNING OFFICIAL: <br /> The Arm <br /> (Print Name) PLANNING 0 FICIAL(Signature) <br /> 12' ' ILf'4r9.o>b (� 50r0tv\ Ave, u 6153 17- t0 <br /> DATE ADDRESS rJ to 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, 03/18 <br />