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• <br /> C . OTHER SUBMITTAL REQUIREMENTS : <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 to <br /> parcels involved clearly marked) . <br /> 3 . Where municipal or OWASA sewer is not available , ■ letter from the Oreng <br /> County Health Department certifying the proposed wastewater eyatem fo <br /> each Lot . <br /> I , the applicant , hereby certify that the foregoing application is complete en <br /> accurate . I understand that a $210.00 fee (aubdivisione of 15 lots or less <br /> or a $370 .00 fee (subdivisions of 16 lots or more) is due at the time o <br /> application . A $5.00 per lot fee is due at the time the final plat i <br /> presented for recordation . <br /> rte.} /1'1/41'.//APPLICANT 'S SIGNATUR OWNER 'S SIGNATURE <br /> 5 - a 9- e.7 <br /> DATE DATE <br /> • <br /> • <br /> • <br /> • <br /> Ip - <br /> FEES: Amount A <br /> �/b Date Paid 5- ' 1- e7 Receipt f32� ! <br />