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11 <br /> C. OTHER SUBMITTAL REQUIREMENTS: <br /> 1 . Twenty—six (28) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax map (one copy with ta: <br /> parcels Involved clearly marked] . <br /> 3. Where municipal or OWASA sewer is not oval Lab la, ■ Letter from the Orange <br /> County Health Department certifying the proposed wastewater system to ! <br /> each Lot. <br /> I , the applicant, hereby certify that the foregoing application i ■ camp lets anc <br /> accurate. I understand that a 11210.00 fee (subdivision• of 15 lots or lass ] <br /> or a $370.00 fee (subdivisions of 18 Lots or more) is due at the time a1 <br /> application . A 86.00 par lot fee is due at the time the final plat 1i <br /> presented for recordation . <br /> APPLICANT 'S SIGNATURE OWNER 'S SIGNATURE <br /> DATE DATE <br /> • <br /> • <br /> FEES: Amount /Q.04 Date Paid /'3Cf-'7 Receipt I�40 If <br />