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085 <br /> . OTHER SUBMITTAL REQUIREMENTS : <br /> 1 . Twenty—six ( 25 ) copies of the preliminary plat <br /> 2. Two full size copies of an Cringe County Tax map (one copy with tax <br /> parcels Inv° Lved clearly marked) . <br /> 3 . Where municipal or OWASA sewer is not evil lab le , a Letter from the Orange <br /> County Wealth Department certifying the proposed wastewater system for <br /> each Lot . <br /> , the applicant , hereby certify that the foregoing application is complete end <br /> ccurate . I understand thet a $210.00 fee ( subdivisions of 15 Lots or less ) <br /> r a $370 .00 fee (subdivisions of 16 Lots or more] is due at the time of <br /> pplication . A $5.00 per lot fee is due at the time the fins I. plet is <br /> resented for recordation . <br /> �►��� CGS <br /> ,PPLICANT 'S SIGNATURE OWNER 'S SIGNATURE <br /> ATE �=Z �.5 /r r? <br /> DATE <br /> FEES: Amoont 'f1//2 oG Date Paid /2-21-f'7 Receipt /toIz7 <br /> • <br />