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SIGNATURES <br /> CITY OF Salem PLANNING OFFICIAL: <br /> Lydia Keller /se: <br /> (Print Name) PLANNING OFFICIAL(Signature) <br /> August 11, 555 Liberty St SE, Suite 305, 503-540-2326 <br /> ag3 <br /> Salem OR 97301 <br /> ADDRESS TELEPHONE# <br /> *COUNTY PLANNING OFFICIAL <br /> Daniel Jansen Jptpis �J <br /> (Print Name) . PLANNING OFFICIAL(Signature) <br /> 7/25/2023 5155 Silverton Rd NE, Salem 97305 503 588 5038 <br /> DATE ADDRESS TELEPHONE# <br /> *If necessary,depending upon city/comity agreement on jurisdiction outside city limits but within UGB. <br /> G:IFORMSISEPTIC\Applieation Packets\S-39 LUCS.doc MC:S-39 rev: 8/10,04/12 <br />