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C. OTHER SUBMITTAL. REQUIENTS: MTh <br /> 1 . Twenty—six (28] copf 'as of the preliminar y plat <br /> 2. Two fuLL size copi :s of an Orange ' County Ta; map (one copy with tax <br /> parcels involved c : .arLy marked] . <br /> • <br /> 3. Where municipal, or LWASA sewer is not available , a letter from the Orang <br /> County Health Depaiy: ;ent certifying the proposed wastewater system for <br /> each Lot . <br /> I , the applicant, hereby ..srtify that the foregoing a;apLication is complete and <br /> accurate. I understand that a 1210.00 fee (subdivisions of 15 Late or Lase) <br /> or a 3370.00 fee (subdivi ions of 15 lots or more) is due at the time of <br /> application . A $5.00 , ar Lot fee 1s due at the time the final plat is <br /> presented for recordation : <br /> APPLICANT 'S SIGNATURE ' <br /> OMINER S SIBNATIIRE <br /> GATE DATE <br /> • <br /> FEES: Amount <br /> /4/.5-14 <br /> • Date Paid /.2—.02/-'i r( Receipt <br />