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C. OTHER SUBMITTAL REQUIREMENTS: 041 <br /> 1 . Twenty—six (28) copies of the preliminary plat <br /> 2. Two fuLL size copies of an Orange County Tax map (one copy with tax <br /> percale involved clearly marked) . <br /> • <br /> 3. Where municipal or OWASA sewer is not available, a Letter 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 lass) <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 /> AP�ICA ' SIGMA URE <br /> NER'S S GNATURE <br /> OATS — <br /> DATE <br /> / <br /> FEES: Amount 24t1 as Date Paid 7- <br /> '�� Zg--PS Receipt /44 y 2 <br />