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• <br /> C. DINER SUBMITTAL REQUIREMENTS: <br /> 1 . Twenty—six (28) copies of the preliminary plat <br /> 2. Two toll 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 available, a Letter from the Orange <br /> County Health Department certifying the proposed wastewater syetsm for <br /> each lot. <br /> I , the applicant, hereby certify that the foregoing application is complete <br /> accurate. I understand that a $21O.O0 fee (subdivisions of 15 p and <br /> or a $370.0Q fee (subdivisions of 16 lots or more) is due at lots or lase] <br /> application . A t6.QQ per Lot fee is due at the time the final time is of <br /> :resented for recordation . <br /> plat i s <br /> (/;Zt.-- 4)4 P P LI CA ' i/ "4�/ -mac <br /> NT 5 SIGNATURE OWNER- SIGNATURE �/ <br /> LATE .� F <br /> DATE• <br /> • <br /> FEES: Amount TSn Date Paid <br /> Receipt tz__ <br /> • <br />