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Nov 18 18,07:59p Danielson Contractors Inc 5037622459 p.3 <br /> EXPIE ,SIGNATURES t�> 1, <br /> CITY OF mil_ 4 c .. PLANNING OFFICIAL: - <br /> , '. ctAc-• k-A-. .S.--V -2) LG,b , 1 a.41., <br /> t Name ' PLANNING OFFI '(Si tut ) <br /> `J <br /> / 6 7/. C PO. t3A-iaci , ,a-k--0-,-/- 5(). ,2354--1 4 3 <br /> DA 0 ADDRESS TELEPHONE 1 <br /> * COUNTY PLANNING OFFICIAL <br /> (Print Name) PLANNING OFFICIAL(Signature) <br /> DATE ADDRESS TELEPHONE!I <br /> 'If necessary,depending upon city/county agreement on jurisdiction outside city limits but within UGB. <br /> G:\FORMSISEPTIC1Application Packets\S-39 LUCS.doc MC:5-39 rev: 811D,04/12 <br />