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• <br /> 101 <br /> C. OTHER SUBMITTAL REQUIREMENTS : <br /> 1 . Twenty—six (26) copies of the preliminary plat <br /> 2. Two full size copies of en Orange County Tax map (one copy with tax <br /> parcels involved clearly marked] . <br /> S. Where municipal or OMASA sewer 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 less] <br /> or a $370.00 fee (subdivisions of 16 Lots or more] is due 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 /> APPLICANT-S SISNATURE OWNER 'S SIGNATURE <br /> /25/2-7 / 2S /P 7 <br /> DATE' DATE <br /> • <br /> FEES: Amount 't/r75 Date Paid Receipt S4"7 <br />