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10.E <br /> C. OTHER SUBMITTAL. REQUIREMENTS: <br /> 1 . Twenty—six (28) copies of the preliminary plat <br /> 2. Two full size copies of an Grange County Tax map (one copy with tae <br /> parcels involved clearly marked] . <br /> 3. Where municipal or OWASA sewer is not eves Lab le, a Latter fro= the Cr nge <br /> County Health Deportment certifying the proposed wastewater system for <br /> each Lot. <br /> I, the applicant, hereby certify that the foregoing appLication is <br /> accurate. I understand that e_ $210 pp complete and <br /> . <br /> or a $370.00 fee (subdivisions of 18 Lots f fee (subdivisions i ison due f at lots <br /> the. time of application. A $5.00 per Lot fee is due at the time the final plat is <br /> presented for recordation .. <br /> .t.��c C. <br /> APPLICANTS SIGNATURE <br /> GraEA s. s SUTURE <br /> 00/(7 / .30S'7 <br /> DATE DATE <br /> • <br /> FEES: amount 2/0.10 Date Paid 10_ P7 Receipt /2402 <br /> • , <br />