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149 <br /> OTHER SUBMITTAL REQUIREMENTS <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 /> the applicant, hereby certify that the foregoing application is <br /> pieta and accurate. I understand that a S105 . 00 fee ( sub'divlsions <br /> 1 -5 lots) , $210 . 00 fee ( subdivision of 6-9 lots) , $315 . 00 fee ( sub- <br /> isions of 10-25 lots ) or a S420 . 00 fee ( subdivisions of 26 lots or <br /> e) is due at the time of application. A S5 . 00 per lot fee is due at <br /> time the final plat Is presented for recordation. <br /> ICANT' S SIGNATURE OWNER' S SIGNATURE <br /> It 6, K7 (-(:)(1.r - /9',0 <br /> E DATE <br /> FEES: Amount �/cam Date Raid /0-1/4.30 2 Receipt /1,O7g <br />