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• ,- <br /> SIGNATURES <br /> CITY OF L 0/1 7 PLANNING OFFICIAL: <br /> (Print Name <br /> PLS I G1:C)FFiCI Signature) <br /> 'q 5-- Sr L oA5 &o ) <br /> DATE ADDRESS I y TELEPHONE# <br /> 9 <br /> 7'3.51- <br /> * <br /> '3,5 6* 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 /> • <br /> G:\FORMS\SEPTIC\S-39 LUCS.DOCX Rev:8/10,04/12,03/18 <br />