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.114 • <br /> C. OTHER SUBMITTAL REaUIREJIENTS: <br /> • <br /> 1 . Twenty—six (2S) copies of the preliminary plat <br /> 2. Two full size capias of an Orange County Tax map Lone copy with <br /> parcels involved clearly marked) . ' <br /> 3. Where municipal or OWASA sewer is not available. a tatter frog, the Ore <br /> County Health Department certifying •the proposed wastewater system, <br /> each lot. <br /> I, the applicant* hereby certify that the foregoing app Li catloe t5 cowp terte <br /> accurate. I understand that a 3210.00 fee (subdivisions- of 15 Lots or Le <br /> or a $370.00 fee (subdivisions of 16 Lots or morel is due at. the times <br /> ties <br /> application . A $5.00 per Lot fee is duo at the time the figs,. plat <br /> presented for recordation. <br /> Ont)TrtLj [l1C`(`^` toi thAI <br /> APPLICA 'I t S SIGNATURE OWNER'S GNATLURE: <br /> 0_5 -- 7 -- - <br /> QATE • DATE <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> FEES: Amount °NV' Date Paid 7-25-3& Receipt M)b <br /> • <br /> • <br />