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032 <br /> C . OTHER SUBMITTAL REQUIREMENTS : <br /> 1 . Twenty—six (26 ) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tex map (one copy with tax <br /> parcels involved clearly marked] . <br /> 3 . Where municipal or OWASA sewer is not available , a Letter from the Orange <br /> County Heelth Department certifying the proposed wastewater system for <br /> each Lot . <br /> I , the applicant , hereby certify that the foregoing app Li cation is complete and <br /> accurate . I understand that a $210.00 fee (subdivisions of 15 Iota or Less) <br /> or a $370 .00 fee (subdivisions of 16 Lots or more] is due at the time of <br /> application . A $5 .00 per lot fee is due at the time the final plat is <br /> presented for recordation . <br /> : —.ftS01-647) D--d\et-egi — <br /> APPLICANAT 'CSS SIGNATURE OWNER 'S SIGNATURE <br /> DATE DATE <br /> • <br /> FEES: Amount vQ, " _ Date Paid 92987 Receipt /.SC6 ? <br />