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C . OTHER SUBKITTAL REOZIRENENTS : 111 <br /> 1 . Twenty—six (28) copies of the preliminary plet <br /> 2. Two full size copies of an Orange County Tax map (one co <br /> parcels involved clearly marked] . PY with t _ <br /> 3 . Where municipal or pKASA sewer is County Health Department certifyingotheVeproposedawastewaterowsyst 0rsn• <br /> each lot . system f• <br /> I , the applicant , hereby certify that the foregoing application 15 coop <br /> eccurat• . I understand that a 1210.00 fee (subdivisions of 15 lots or � lest <br /> or • *370 . 00 fee (subdivisions of 16 Lots <br /> ePPllcatian . A *6 ,00 or more] 1s due at the tine o <br /> presented for recordationp�r let tea is due at the the the fine 1 plat 1 <br /> 41/h4174,i //74,1" <br /> P7LICAN7 S SIGNATLJRE� "� lOi]1f�., <br /> JOk(E�j''S 5I 6ttATURE <br /> • <br /> • <br /> • <br /> OA7 E <br /> FEES: Amount I/Os°" Date Paid C-2 <br /> -- id 5- <br /> ? 7 Receipt /413DV <br />