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108 <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 /> mplete and accurate. I understand that a S105 . 00 fee ( subdivisions <br /> 1 -5 lots) , S210 . 00 fee ( subdivision of 6-9 lots) , $315 . 00 fee ( sub- <br /> visions of 10-25 lots ) or a $420 . 00 fee ( subdivisions of 26 lots or <br /> re) is due at the time of application. A $5 . 00 per lot fee is due at <br /> e time the final plat is presented for recordation. <br /> �C.�a ff 2�. - GC tM Tr � S ITr� S1r c.�arl <br /> P ' A ' S S G N A T U R E 0 E S I G N A T U R E mug- -xx i4afr fie. rf� <br /> 11 oq61 11)3019 <br /> TE DATE <br /> FEES : Amount &15'41r Z) 'c Date Paid Receipt Pfr 1&3 -16 <br />