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SIGNATURES <br /> CITY OF S 1. I V�r�o d\ PLANNING OFFICIAL: <br /> • SOn a 4y'Gy *V1 <br /> (Print Name G OFFIC •f ignature) <br /> - 1 -•2 3 3617 S. Lio.4tr S{- SD%- g7LI-22IZ <br /> DATE ADDRESS TELEPHONE it • <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:\FORMS\SEPTIC\S-39 LUCS.DOCX Rev:8/10,04/12,03/18 <br />