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OTHER SUBMITTAL REQUIREMENTS <br /> 095 <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 1s 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 5105 . 00 fee ( subdivisions <br /> 1 -5 lots) , 5210 . 00 fee ( subdivision of 6-9 lots) , 5315 . 00 fee ( sub- <br /> visions of 10-25 lots) or a 5420 . 00 fee ( subdivisions of 26 lots or <br /> re) Is due at the time of application. A 55 . 00 per lot fee is due at <br /> e time the final plat 1s presented for recordation. <br /> C1rr . Jl' Gl f. ��/ 7.30,u7 GL`-rLl <br /> PLICANTtS SIGNATURE OW96 <br /> E ) S SIGNATURE <br /> i= i 13°/S/ <br /> DATE <br /> FEES : Amount /b) A6 Date Paid 12" V-7-7 Rece 1 F �t / (J 3 6 <br />