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10'4 <br /> OTHER SUBMITTAL REWJIREMENTS: <br /> 1 . Twenty—six (25) copies of the preliminary plat <br /> 2. Two full size copies of an Orange county Tax map (one <br /> parcels involved clearly marked) . <br /> copy with is <br /> 3. Where municipal or OWASA sewer is not available , a Letter from <br /> County Health Department certifying the proposed wastewater ys fo <br /> st Ore <br /> each Lot . tem r <br /> the app Li cant, hereby certify that the foregoing app Li cation <br /> accurate . I understand that a $210.30 fee ( subdivisions is ctso late less) <br /> sr a 2370 .00 fee (subdivisions of IS of 15 lots or lase] <br /> app Li cation . A $5.00 lots or more) is due at the time of <br /> ) resented for recordationper Lot fee is due at the time the final <br /> plat is <br /> glab <br /> Air <br /> / <br /> .PPLICANT '$ SIGNATURE �'✓J1 +. <br /> OWNER 'S SIGNATURE <br /> • <br /> . DATE <br /> FEES: Amount 3 pate Paid 7-/7-7 <br /> Receipt .297/ <br /> • <br />