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C. OTHER SUBMITTAL REQUIREMENTS : rJ l <br /> 1 . Twenty—six (25) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax map (one copy with tax <br /> parcels involved clearly marked) . <br /> 3. 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 end <br /> accurate. I understand that a $210.00 fee (subdivisions of 15 Lots or less) <br /> or a $370 .00 fee (subdivisions of 15 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 SIGNATURE OWNER ''S SISNATURE <br /> 2 _ 2 (-9 <br /> DATE DAT E <br /> 0 <br /> FEES: Amount 41069-- Date Paid Receipt )2L4 <br />