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C . OTHER SUBMITTAL REQUIREMENTS : 125 <br /> 1 . Twenty- six (28) copies of the preliminary plat <br /> 2. Two full size copiea of an Orange County Tax map (one - copy with ta: <br /> parcels involved clearly marked) . <br /> 3 . Where municipal or OWASA sewer is not avai lab Le , a letter from the Orangr <br /> County Health Department certifying the proposed wastewater system for <br /> each Lot . • <br /> I , the applicant , hereby certify that the foregoing app Li cation is complete an <br /> accurate . I understand that a $210.00 fee (.subdivisions of 15 lots or: lass : <br /> or a 1370 .00 fee (subdivisions of 18 -.Cots or more) is due at the time o <br /> application . A $5 .00 per Lot-- fee is due- at the time the fine l plet i . <br /> presented for recordation . <br /> oh,‘,,,,d <br /> / A),47 --7 • ile-i't13 ,‘'T"Po . <br /> AP - LICANT 'S SIGNATURE OWNER 'S SIGNATURE • <br /> V/6/9.6 • lljz/g6 <br /> DATE / <br /> DATE <br /> c o 9$44-iNcz►', R . 6ri-R.it-e77 <br /> `)''Z q sift? — - 44-41.4 . - <br /> tat <br /> FEES: Amount 4 105' co Date Paid I 1/7 $(o Rece i t <br /> • <br />