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Describe type of business or facility that on-site sewage system will serve: <br /> <br />An on-site sewage system permit application is being proposed for this property. This application is <br />for a: <br /> <br />new permit __ repair permit <br />other ~.×'i%H ¥~ <br /> <br />alteration permit <br /> <br />SECTION 2. TO BE FILLED OUT BY CITY OR COUNTY PLANNING OFFICIAL <br /> <br />4. The facility proposal is located: inside city limits ; inside UGB ~ ; outside UGB. <br /> <br />5. Name ofcityorcountythat hasland usejurisdiciton: C'£~?°~ ,~,~w'///~ '~ <br />6. The business or facility complies with local land use requirements: YES //~; NO.__ <br /> <br />6a. List all local reviews or approvals that were required of the applicant before the LUCS consistency was <br /> determined (this noes not include past requirements that do not relate to the pending permit requests): <br /> <br />6b. If no. ident~y requirement(s) that the applicant must comply with before LUCS consistency can be determined: <br /> <br />6C. <br /> <br />Is local government curre~nt~ processing remaining requirements to attain LUCS consistency: <br />YES NO ,,,,~. Anticipated date of decision: <br /> <br />Was or is a public notice and headng required: YES ; NO X ; DATE: <br /> <br />THIS LUCS CANNOT BE APPROVED AND SIGNED UNTIL ALL LOCAL REQUIREMENTS HAVE BEEN MET. <br /> <br />SIGNATURES: <br /> <br />PLANNING OFFI~;IAL (PRINT NAME) <br /> <br />PLANNIr~G OFFICIAL (SIGNATURE) 'ITI'LE DATE <br /> <br />(COUNTY). <br />PLANNING OFFICIAL (PRINT NAME) <br /> <br />PLANNING OFFICIAL {SIGNATURE) TITLE <br /> <br />DATE <br /> <br />(Both signatures may be required depending upon city/county agreement on jurisdiction outside city limits but within the <br />UGB) <br /> <br />ATTENTION: Wr~tten findings ~f fact f~r a~ ~ca~ dec~si~ns addressed under item#6 must be attached t~ the <br /> LUCS. <br /> <br /> <br />