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lil <br /> G. OTHER SUBMITTAL R EUUI R EN ENTS : <br /> 1 . Twenty—six [ 26 ] copies of the preliminary plat <br /> 2. Two fut. !. size copies of an Orange County Tax map (one copy with tax <br /> parcels involved clearly marked) . <br /> • 3. Where municipal or O;(ASA eater is not avai Lab la ,. a Letter from the Ork.nge <br /> County Pica Lib Department certifying the proposed wastewater system far <br /> each Lot. <br /> I , the app Li cant, hereby certify that the foregoing app li cation is comp late and <br /> accurate. I understand that a $210.00 fee [subdivisions of 15 lots or Lass) <br /> or a $370 ,011 fee (subdivisiona 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 plot is <br /> presented for recordation . . <br /> /161 174/ <br /> //6 A-ryr__2 /1"11‘4.4C'-/ <br /> APPLICANT 'S SIGNATURE OWNER SIGNATURE <br /> 4eal — / /:)...1",Li' 1.7 67 CZ <br /> ct�T E %`e — <br /> • <br /> • <br /> FEES: Amount 420°- Date Paid 62-%II& Receipt /t?'/Z-. <br />