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t <br /> SIGNATURES <br /> Cl l Y OF A t t v'6- PLANNING OFFICIAL: <br /> if/ G./ ' - , !fo r <br /> (Print Name)(cep <br /> J PLANNING OFFICIAL( gre) <br /> /a- 5- - / ley 1.4-Sk. (P3) <br /> DATE DRESS g?3 TELEPHONE# <br /> *COUNTY PLANNING OFFICIAL <br /> (Print Name) PLANNING OFFICIAL(Signature) <br /> DATE ADDRESS TELEPHONE# <br /> *If necessary,depending upon ciay/county agreement on Jurisdiction outside city limits but within UGB <br /> GfFORMS\SEPTIC1S 39 LUCS.DOCXRev:8/10,04/12,03/18 <br />