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SIGNATURES <br /> CITY OF G PLANNING OFFICIAL: <br /> —1 . Ay-file z <br /> (Print Name) P G OFFICIAL(Signature) <br /> L&-al.,"a.c(? rot .Soriukt Avt, U) 503 iS$7 <br /> DATE ADDRESS 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:IFORMSISEPTIC\Application Packets\S-39 LUCS.doc MC:S-39 rev: 8/10,04/12 <br />