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Oft; <br /> C. OTHER SUBMITTAL RECUIR - ENTS: <br /> 1 . Twenty—s1x (28] cc . ' se of the preliminary plat <br /> 2. Tim full size cop•' s of an Orange County Ta:: map (one copy with tax <br /> parcels involved c Holy marked] . <br /> 3. Where municipal, or :WASA sewer is not evallabl , a Latter from the Orange <br /> County Health Dapar •mant certifying the proposed wastewater system for <br /> each Lot. <br /> I , the applicant, hereby . artify 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 (subdiv' - ions of 18 lots or more: is due at the time of <br /> application . A $5.00 -sr Lot fee le due at th, time the final plat is <br /> presented for recordation <br /> try ' ` a jct., <br /> earatCkaag/I-- 44-Interertiti*.c.te—be-cc' <br /> APPLI CANT ' - SIG ATUR + / !1 OWNERS S A1 3RE 1 <br /> OAT <br /> t <br /> DATE <br /> FEES: Amount 57 'o )ate Paid '/2, - 29-8 ' Receipt SW/ <br />