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C. OTHER SUBMITTAL REQUIREMENTS 1 7� <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 is <br /> complete and 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 /> APPLICANT' S SIGNATURE OWNER' S SIGNATURE <br /> id'/ye/f7 <br /> DATE DATE <br /> • <br /> FEES: Amount 61o5.°d Date Paid /D' 3O- S? Receipt 16206, 5 <br />