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135 <br /> C. OTHER SUBMITTAL REQUI ENTS: <br /> 1 . Twenty—six (28) cop�i a of the preliminary plat <br /> 2. Two full size coolie of an Orange County Tax map one copy( co with tax <br /> parcels involved cleprly marked] . <br /> 1 <br /> 3. Where municipal or OWASA newer is not available , a Letter from the Orange <br /> County Health Department certifying the proposed wastewater system for <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 leas) <br /> or a $370.00 fee (subdivir: one of 18 Lots or more) is due at the time of <br /> app Li cation . A $6.00 1•tir Lot fee is due at the time the final plat is <br /> presented for recordation .,: <br /> :1 <br /> APPLICANT 'S SIGNATURE i' OWN ' ,P ATURE <br /> DATE //" / 9 r g <br /> • <br /> DATE <br /> r . I <br /> FEES: Amoont gla DI" • Date Paid /I-29 �� Receipt s// <br /> • <br /> • <br /> . is <br />