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6 <br /> C. OTHER SUBMITTAL REQUIREMENTS <br /> 1 . Twenty-seven (27) copies of the preliminary plat. • <br /> 2. Two full size copies of en Orange County Tax. map (one copy with <br /> tax parcels involved clearly marked) . <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 /> • <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) Is 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 /> • <br /> APPLICANT'S SIGNATURE /W/OWNER' S SI NATURE <br /> DATE DATE <br /> • <br /> • <br /> • <br /> be <br /> FEES: Amount 40-0 Date Paid i_-X/1-'e9 Receipt ").- 14,6-- <br /> • <br /> • <br /> • <br /> • <br />