Orange County NC Website
C . OTHER SUBMITTAL REQUIREMENTS : 0941 <br /> 1 . Twenty—six (25 ) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax 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 Health Department certifying the proposed wastewater system for <br /> each Lot . <br /> �CS <br /> I , the applicant , hereby certify that the foregoing application 1s complete and <br /> accurate . I understand that a $210 .00 'fee ( subdivisions of 15 lots or less) <br /> or a 6370 .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 /> • <br /> PLICANT S SNATURE OWNER 'S . SIGNA R E / 77 <br /> ]AT 5 )>7 F ➢ 7 <br /> DAT <br /> FEES: Amoont 1(5'.D0 Date Paid ‘.7-0-07 Receipt 4- T <br />