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SIGNATURES <br /> CITY OF 0.s[ e-5 PLANNING OFFICIAL: <br /> -r-v-ctrA <br /> (Print Name) PLANNIN OFFICIAL(Signature) <br /> 3- 50-c)0.,? 1 I0 Sorbet /P_ c,(J 50,- 87 7 -c o <br /> DATE ADDRESS es I ve 3'-L Cp 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 />