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• <br /> C. OTHER SUBMITTAL REQUIREMENTS: <br /> 1 . Twenty--six (28) copies of the preliminary plat <br /> 2. Two full size copies of en Orange County Tax ma <br /> parcels involved clearly marked) . map lone copy with tax <br /> 3. Where municipal or OWASA sewer is not available , a letter <br /> County Health Department certifying the proposed wastewateromSyst Orange <br /> each Lot. y am for <br /> I , the applicant, hereby certify that the foregoing application i <br /> accurate. I understand that a •210. s complete or and <br /> or a $870.00 fee !subdivisions of 1B$210.00 fee !subdivisions of 15 lots or less) <br /> application . A $5.00 per lot fee is s due rataothe itimeuethetfin l time of <br /> Presented for recordation . <br /> • <br /> al plat is <br /> APPLICANT'S SIGNATURE �� r <br /> OWNER 'S SIGNATURE <br /> DaTE DATE E <br /> FEES: Amount Date Paid <br /> '��,� Receipt <br />