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• <br /> 106 <br /> 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 marked) . <br /> 3, Where municipal or OWASA sewer is not available, a Letter from the Orange <br /> County Health Department certifying the proposed wastewater system fa <br /> each Lot. <br /> I , the applicant, hereby certify that the foregoing application is complete anti <br /> accurate. I understand that a $210.00 fee (subdivisions of" 15 late or Less) <br /> or a $370.00 fee (subdivisions of 18 Lots or more) le due at the time of <br /> application . A $5.00 per Lot fee is gut at the time the final plat is <br /> presented for recordation . <br /> APPLICANT 'S SIGNATURE OWNER'S SIGNATURE <br /> `d/!s/ate 9 //r/o <br /> DATE DATE <br /> FEES: Amount $2.2 Date Paid 6-// /14. Receipt 11i42 <br /> • <br />