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■ <br /> SIGNATURES <br /> CITY OF Hubbard PLANNING OFFICIAL: <br /> Holly Byram, City Planner, MWVCOG <br /> (Print Name) G F ICIAL(Signature) <br /> 10/03/23 100 High Street SE Ste. 200 Salem, OR 97301 (503) 540-1617 <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:IFORMS\SEPTICApplication Packets\S-39 LUCS.doc MC:S-39 rev: 8/10,04/12 <br />