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C. OTHER SUBMITTAL REQUIREMENTS: 1 S <br /> 1 . Twenty—six (26) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax map (one copy with tax <br /> parcels involved clearly marked] . <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 less) <br /> or a $370.00 fee (subdivisions of 16 lots or more) is due at the time of <br /> application. A $5.00 par lot fee is due at the time the final pLet is <br /> presented for recordation . <br /> AlOir <br /> APPLICANT 'S SIGNATURE �, - <br /> OiNNEA 'S SIGNATURE <br /> - -� <br /> 2/2 s/ <br /> DATE <br /> DATE <br /> FEES: Amount `§2'/0° <br /> Date Paid /---2g-86 Receipt /08(p0 <br />