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C. OTHER SUBMITTAL REQUIREMENTS: <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 /> parcels involved clearly. ma rked) . <br /> S. Where municipal cr 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 Lota or lase) <br /> or a $370.00 fee [subdivisions of 1S 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. far recordation. <br /> .72.f-d...:(-- ,...P,27-,-7-712 • <br /> APPLICANT'S SIGNATURE NER'S SIGNA URE <br /> ,I/2-3 /s-', �' - 7-4 <br /> OAT l� DATE - <br /> FEES: Artoant 0.1/0 ' Date Paid i-3/-&a. Receipt COOED <br />