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089 <br /> • <br /> . OTHER' SUBMITTAL REO.UTAEI4ENTS: <br /> 1 . Twenty—six (28) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax leap (one copy with' t: <br /> parcels involved clearly marked] . <br /> 3. Where municipal. or OWASA saner is not ' avaitable,. a latter trom the ran <br /> County Health Department certifying the proposed wastewater syste ti <br /> each lot. <br /> v , the applicant, hereby certify that the foregoing .application is complete a <br /> aconite. I understand that a 1210.00 'fee (subdivisions of i5 tote or Lee <br /> ►r a $370.00 fee (subdivisions of IS lots or morel is due at the time <br /> 1ppLication . A $3.00 per Lot fee is due at the time the final pot <br /> a resented for recordation . <br /> • <br /> 'jab - <br /> :F'PLICANT 'S SIGHAT.t1RE • OW ER IS SIGNAT 'RE <br /> Syz.?(r 6 <br /> )ATE • • DATE • <br /> • <br /> FEES: Amount �L1w oa Date Paid -/3-2(1-$6 Receipt -(09 <br /> • <br /> • <br /> • <br />