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05 <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 map (one copy with to <br /> parcels involved clearly marked) . <br /> 3. Where municipal or OMASA sewer 1 • not ovallablr, • Letter <br /> from the <br /> County Health Department certifying the proposed system arena <br /> each lot. <br /> I , the applicant, hereby certify that the foregoing application i • <br /> ■ccu rate . I understand that a 8210.00 cts o its ss, <br /> or a #370.00 fre (subdivisions of 18 fee (subdivisions of 15 iota or leas; <br /> •ppllcat ion . A 86.00 lots or more) 1s due at the time v� <br /> • par lot tae 1s due at the time the final <br /> plat <br /> presented for recordation , i � <br /> / # <br /> APPLI ANT'S SIGNATURE <br /> OWNER 'S SYGhATURE <br /> 27 1 <br /> DATE <br /> • <br /> • <br /> • <br /> OAT E <br /> FEES: Amount O5 Date Paid 2.2- •V7 <br /> Receipt l21 3g <br />