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i4 <br /> C. OTHER SUBMITTAL, REi1UIREMEHTSo <br /> 1 . Twenty—six 12B) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax map (one c <br /> parcels involved clearly marked) . copy with tax <br /> 3. Where municipal or OWASA sewer is not available <br /> County Health Department certifying the a Letter from the Orange <br /> each Lot . proposed wastewater system for <br /> I , the applicant , hereby certify that the foregoing application is <br /> accurate . I understand that a *210.00 fee (subdivisions of 1S <br /> or a *37D.DD fee (eubdivisiona of 18 complete end <br /> application . A *5,00 tote or more) is due Lthe ar less) <br /> per Lot fee is due at the time the the time i <br /> presented for recordation . final <br /> plat is <br /> APPL.ICANT '5 SIGNATURE �✓r"'r <br /> N R 'S SIGNATURE �h".~ <br /> DATE �" <br /> DATE <br /> FEES: Amount '�2/C�- � Date Paid <br /> ' <br /> —� /24'6 Receipt JOt 77 <br />