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r,. <br /> • <br /> ' C. OTHER SUBMITTAL REQUIREMENTS <br /> 177 <br /> 1 . Twenty-seven (27) copies of the preliminary plat. <br /> 2. Two full size copies of an Orange County Tax map (one copy with <br /> tax parcels involved clearly marked) .. <br /> • <br /> 3. Where municipal or OWASA sewer is not available, a letter from <br /> the Orange County Health Department certifying the proposed <br /> wastewater system for each lot. <br /> I , the applicant, hereby certify that the foregoing application is <br /> complete and accurate. i understand that a $105.00 fee (subdivisions <br /> of 1 -5 lots) , $210.00 fee (subdivision of 6-9 lots) , $315.00 fee (sub- <br /> divisions of 10-25 lots) or a $420.00 fee (subdivisions of 26 lots or <br /> more) 1s due at the time of application. A $5.00 per lot fee -is due at <br /> the time the final plat is presented for recordation. <br /> APP X4T'tS IGNAT E O INER'S SIGNATURE <br /> 7> //Wm. <br /> v <br /> DATE • DATE <br /> • <br /> FEES: Amount Date Pa I d 3 `22 133 Rece 1 pt * (741 30 <br />