Orange County NC Website
C. OTHER SUBMITTAL REaUIREI4ENTS : 0b4 <br /> 1 . Twenty—six CO ) copies of' the preliminary p let <br /> 2. Two full size copies of art Orange County Tax map (one copy with tai <br /> parcels involved clearly marked) . <br /> 3. Where municipal or OWASA sewer is not avai Lab le , a letter from the Orange <br /> County Hea lth Department certifying the proposed wastewater system fo r <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 Iota or less ) <br /> or a $370.D0 fee (subdivisions of 16 lots or more) is due at the time of <br /> app Li cati on . A $5.00 par lot tea is due at the time the final p let i s <br /> presented for recordation . <br /> APPLICANT 'S SIGNATURE OWN, ' ATURE <br /> GATE DATE <br /> FEES: Amoant 42v, Date Paid /�-2r�_ c?( Receipt 5-7/ / <br />