Orange County NC Website
• <br /> Q94 • <br /> C. OTHER SUBMITTAL REQUIREMENTS: <br /> 1 . Twenty—six (26) 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 marked) . <br /> 3. Where municipal or OWASA sewer is not available, a tatter from the Orange g <br /> County Health Department certifying the proposed wastewater system far <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 $370.00 fee (subdivisions of 16 Lots or sore) 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 for recordation . <br /> 4111, IP <br /> /, , <br /> "41. <br /> ..?PLICANT'S S1TURE OWNER 'S SIGNATURE <br /> DATE - <br /> FEES: Amount '�,Z/O, Date Paid Cd-�# C_ Receipt 4141/.2. <br />