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135 <br /> C. OTHER SUBMITTAL REQUI ENTS: <br /> 1 . Twenty--six (20) civil a of the preliminary plat• <br /> 2. Tom fuLL size coolies of an Orange County Tax map (one copy with tax <br /> parcels involved cLe+arly marked) . <br /> 3. Where municipal or OWASA serer is not oval Lab Le , a Letter from the Ore ge <br /> County Health Department certifying the propaa,ed wastewater system or <br /> each Lot. <br /> I , the applicant, hereby certify that the foregoing application is complete and <br /> accurate. I understand ''that a $210.00 tee (subdivisions of 15 lots or Lase) <br /> or a $370.00 fee (aubdivir:ione of 10 Lots or more) is due at the time of <br /> app Llcatlon . A $6.00 er lot fee is due at the , time the final. plat is <br /> presented for recordation .•. <br /> • <br /> .! . <br /> APPLICANT 'S SIGNATURE OWN/-a• ' = AT'1RE <br /> DATE y— I/� / 9 � <br /> DATE <br /> • <br /> • <br /> • <br /> • <br /> r <br /> r 'l <br /> • <br /> FEES: Amount , 4L9Q, Date Paid /.2-fir_ k6 Receipt r// <br /> • <br /> .1 <br />