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C. OTHER SUBMITTAL RECUIREMENTS : 125 <br /> 1 . Twenty-six (25) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax asap' (one . copy with tae <br /> parcels involved clearly marked) . <br /> 3. Where municipal or OWASA sewer is not available , a letter from the ' 0 snge <br /> County Health Deportment certifying the proposed wastewater system far <br /> each lot. <br /> I , the applicant, hereby certify 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 (subdivisions of 16 -Jots or more) is due at the time of <br /> application . A $5.00 per tot- fee is due_ at the time the final . plat is <br /> presented for recordation . <br /> 111-cte,,d • <br /> / /, . <br /> AP- LICANT 'S SIGNATURE OWNER 'S SIGNATURE . <br /> V/6/7.6 oj yf - . <br /> DATE DATE • <br /> % 9'R.4-iNc . R . 601-0.4e17 <br /> 90Z. 9 - ö'9 g — /to 4 4444 ti • . <br /> • <br /> ti 2 FEES: Mioant 4106, co Date Paid I L $ <br /> r /7 (o Receipt 1 <br /> • <br />