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C. OTHER SUBMITTAL. REQUIREMENTS: �5 <br /> 1 . Twenty—six (281 copies of the preliminary plat <br /> 2. Tr.: fu L L 31 iQ copies of en Grange Caunrcy Tax map involved clearly marked) . P (one copy with tax <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 3370.00 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 fins for recordation . plat is <br /> C . „di e - <br /> APPLICANT'S SIGNATURE OWNER 'S SIGNATURE <br /> February 26, 1986 February 26, 1986 <br /> DATE <br /> DATE <br /> FEES: Amount 42 �Li�� <br /> 4 20 no <br /> Date Paid /-22-8(e Receipt )py-V) <br /> °L) 106.97 <br />