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• <br /> 096 <br /> C. OTHER SUBMITTAL REOU I REMEN'TS <br /> 1 . T•,enty-seven ( 27 ) copies of the prei mir,ary plat. <br /> 2. To 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 5105 . 00 fee ( subdivisions <br /> of 1 -5 lots) , 5210 . 00 fee ( subdivision of E-9 lots) , 5315 . 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 55 . 00 per lot fee is due at <br /> the time the final plat is presented for recordation. <br /> � <br /> APPLICANT' S SIGNATURE OWNERS SIGNATURE <br /> 6fzio /8 ? c/,-;ca /P7 <br /> DATE DATE <br /> • <br /> FEES: Amount alo. Date Pa i d 6`2617 <br /> Receipt <br /> /14.38- <br /> • <br /> • <br />