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C. OTHER SUBMITTAL REQUIREMENTS _ �' <br /> ii�l <br /> 1 . Twenty-seven ( 27 ) copies of the preliminary plat. <br /> 2. Two full size copies of an Orange County Tax map ( one copy with <br /> tax parcels involved clearly marked) . <br /> 3. Where municipal or OWASA sewer is not available, a letter from <br /> the Orange County Health Department certifying the proposed <br /> wastewater system for each lot. <br /> I , the applicant, hereby certify that the foregoing application 1s <br /> complete end accurate. I understand that a $105 .00 fee ( subdivisions <br /> of 1 -5 lots) , $210 . 00 fee ( subdivision of 6-9 lots) , $315 . 00 fee ( sub- <br /> divisions of 10-25 lots) or a $420 .00 fee ( subdivisions of 26 lots or <br /> more) is due at the time of application. A $5 . 00 per lot fee is due at <br /> the time the final plat is presented for recordation. <br /> • <br /> R <br /> �'yye�w ��.,�/ G -, ��`� , g--- _ 1, <br /> APPLfICANT' S SIGNATURE OWNER' S SIGNATURE <br /> /C _.5d_Af7 /6. — e -- ec7 7 <br /> DATE DATE <br /> ril/057 ec <br /> FEES: Amount Date Paid d m- m-e7_ Rece l pt 1 6 EP <br />