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r; = :1'o _ <br /> • <br /> OTHER SUBMITTAL REQUIREMENTS : • <br /> 1 . Twenty—six [26) copies of the preliminary plat <br /> 2. Two full size copies of an Orange County Tax nap, tone 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 41210.00 fee (subdivisions of 15 lots or less) <br /> or a 141370.00 fee [subdivisions of 16 Lots or more) is due at the time of <br /> application . A $5 .00 par Lot fee is due at the time the final plat is <br /> 3resentad for recordation . <br /> APPLICANT 'S tItHATURIE1 O A ' - SI - ATURE <br /> •]ATE- -- —SSA ? _ 2Z. • <br /> � . <br /> DATE <br /> • <br /> FEES: Amount) Z4a . Date Paid 1-22-r e- Receipt /70(Y- <br />