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2o <br /> <br />Describe type of business or facility that on-site sewage system will serve: <br /> <br /> J <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 ~ <br />other ~.×'~,-~ <br /> <br />repair permit__ <br /> <br />alteration permit <br /> <br />SECTION 2 - TO BE FILLED OUT BY CiTY OR COUNTY PLANNING OFFICIAL <br /> <br />4. The facil~ proposal is located: inside city limits ; inside UGB //~ ; outside UGB <br />5. Name of city or county that has land use jurisdiddon: C?~.~'o~ ,/~u~,*$v~//"~ 74/~_~-/~_~.~)~/,~ <br />6. The business or facility complies with local land use requirements': YES J; NO <br />6a. Ust ail 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. identify requirement(s) that the applicant must comply with before LUCS consistency can be determined: <br /> <br />Sc. <br /> <br />Is local government curre[~ processing remaining requirements to attain LUCS consistency:. <br />YES NO ,,.,~. Anticipated date of decision: <br />Was or is a public notice and hearing 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 OFFICIAL (PRINT NAME) <br /> <br />PLANNIr~G OFFICIAL (~IGNATURE) TfTLE DATE <br /> <br />(COUNTY). <br />PLANNING OFFICIAL (PRINT NAME) 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: Wrftten fin~mgs of fact for all local decisions addressed under Item#6 must be attached to the <br /> LUCS. <br /> <br /> <br />