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OTHER' SUBMITTAL RECLUIREMENTS: <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. Mhers municipaL or OWASA sever is not • avellabLe. a letter from the Orange <br /> County HeaLth Oepertment certifying -the proposed wastewater system for <br /> each Lot. .- . . <br />[ , the applicant, hereby certify that the foregoing application is complats a4d <br /> lccurate. I understand that a- i210.00 'fas (aubdivisions of 15 Lots or Lasal <br /> it a $370.00 fee (subdivisions of 16 Loti or moral is due at the time of <br /> ipp Li cats on . A $5.00 per Lot fee is due at the time the fi ne L plat Is <br />) resented for recordation . <br /> u <br /> LICANTI5 IGNATURE - OWNER 'S, SIGNATURE <br /> 1�1z4Is4 . <br />)ATE OAT E <br /> FEES: Amount $ 270-D&ODate Paid F 12-1 -8(o Receipt 8 � 9 <br /> J <br />