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099 <br /> C:. OTHER SUBMITTAL RECLUIREMENTS: <br /> I . Twenty—six [28) copies of the preliminary plat <br /> 2. Two fuLL size copies of an Qrange County Tax map (one copy with tax <br /> parcels involved cLaarLy worked) . <br /> 3. <br /> Where municipaL or OMASA sewer in- not avoi Lab Ls. a Letter from the Orange <br /> County Health Department certifying the proposed wastewater system for <br /> each Lot. <br /> L, the applicant, hereby certify that the foregoing application is comp Leta a d <br /> accurate. I understand that a $290.00 fee (subdivisions of 15 Lots or Las ) <br /> or a $370.01) fee (subdivision* of 16 lots or more) In 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 /> APPLICANT'S SIGNATURE OWNER'S SIGNATURE <br /> Z Lri�k <br /> DATE DATE�w�.rrr.....r.r <br /> FEES: Amount ��d. °� Date Paid Receipt <br />