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089 <br /> . OTHER' SUBMITTAL REWUTAEtENTS: <br /> • <br /> 1 . Twenty—six (28] copies of the preliminary plat <br /> 2. Two WA.L size copies of an Orange County Tax s'ap (one copy with t <br /> parcels involved clearly marked] . <br /> • <br /> 3. Where municipal or OWASA sewer is not available,. a. Letter from the Oren <br /> County Health Department certifying the proposed wastewater system f <br /> each Lot. <br /> • <br /> , the applicant, hereby certify that the -foregoing application is complete a <br /> emirate. I understand that a. $210.00 'fee ( subdivisions of 15 Lots or Les <br /> , r s $370.00 fee (subdivisions of 16 Lots or more] is due at the time <br /> :pp li cation . A $5.00 par lot fee is due at the time the final plat <br /> resented for recordation . <br /> • � �J <br /> ,PPLICANT 'S SIGHAURE - OW ER 'S SISt+IUT 'RE <br /> 3'/Z?7r G 01/5-76 <br /> )ATE DATE <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • - <br /> FEES: Amoant ' L�n Date Paid " g-2q-$6 Receipt VP <br /> • <br /> • <br /> • <br /> • <br />