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OTHER SUBMITTAL REQUIREMENTS 064 <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 /> nmpiete and accurate. I understand that a $105 . 00 fee ( subdivisions <br /> 1 -5 lots) , $210 . 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 /> ie time the final plat is presented for recordation. <br /> DPLICANTIS IGNATURE oWN: R' S SIGNA U <br /> ATE DATE ( 9g7 <br /> \ <br /> FEES: Amount 1 ,cm Date Paid ( -2q <br /> -$1iece i pt (p3-72j <br />