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046 <br /> C . OTHER SUBMITTAL REQUIREMENTS: <br /> 1 . Twenty—six (26 ) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tex map tone copy with tax <br /> parcels involved clearly marked) . <br /> 3. Where municipal or OWASA sewer is not available , a Latter from the Orange <br /> County Health Department certifying the proposed wastewater system for <br /> each Lot . <br /> I , the applicant , hereby certify that the foregoing application is complete and <br /> accurate. I understand that a $210.00 fee (subdivisions of 15 lots or Less) <br /> or a $370.00 fee (subdivisions of 16 Lots or more) is due at the time of <br /> application . A $5.00 per Lot fee is due at the time the final plat is <br /> presented for recordation . //// <br /> (2.9-1,/ .t r r <br /> APPLIk ' S SIGNATURE OWNER GNATURE <br /> ( fRe <br /> DATE '�, / 1 �‘ <br /> DATE <br /> II <br /> FEES: Amount° !��. Date Paid 1 �' Receipt 1/45 <br /> I . <br /> it <br />