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058 <br /> C. OTHER SUBMITTAL REQUIREMENTS: <br /> 1 . Twenty—six (25) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax map (one copy with tax <br /> parcels involved clearly marked . <br /> 3. Where municipal or OWASA sewer 1s not available, a Letter from the arena <br /> County Health Department certifying the proposed wastewater system fo <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 lase) <br /> or a 1370.00 fee (subdivisions- of 16 Lots or More] is due— at at the time of <br /> application . A $5.00 per Lot fee is due at the time the final plat is <br /> presented for recordation . <br /> LIM <br /> AP.;. IC. NT ' ° SISNAT RE OW R S SI NATUR r <br /> 9 � E <br /> 1 <br /> DATE 'L�[� DATE 1 5 S�(P <br /> FEES: Amount Date Paid Receipt <br />