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22 i. <br />• ' C . OTHER SUBMITTAL REQUIREMENTS : <br /> 1 . Twenty-six (2E ) 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 /> I , the applicant, hereby certify that the foregoing application is complete and <br /> accurate . I understand that a $210.00 fee ( subdivisions of 15 lots 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. <br /> presented for recordation . <br /> e Plat i s <br /> APPZ CANT 'S SIGNATURE . R-: z W39 — <br /> OWNER 'S SIGNATURE <br /> eZia---0.; 9 12- 47/8 -7 <br /> DATE DATE / <br /> l <br /> FEES: Amount 1370. bate Paid 'F-2-P7 Receipt f7 44 <br /> • <br />