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, ' •�;: • � <br /> : . <br /> . , ', <br /> .,. , <br /> �� �� �� �� _ ��►��� c+��N-rv, �L.4��DA . <br /> � . . � . . <br /> . ,. ., ' � . Permlt No, ^��7� <br /> D�te Permi�ted �•��� <br /> Buiider NamelOwner Nam�e f�� �E ��`�''��'`"���' Cqntrol# ' <br /> —______.� ,�---- <br /> Caunty Parcef No. l�'�--��"(��-�°l�0 t?���L� __ SubDiv: � < � �''�' <br /> AddressiLacation c� ���� ���%`�' �- ��- �� �.-�1�``�� ' <br /> ClassificatlonCfype of Use �G���� - � � - <br /> TRANSPORTATION (MPA�T FEE , Rate: � Sq Ft Unit;���,�---- <br /> Exempt ❑ Yes �] No NpW Determined � <br /> ' impact Fee Amount �. ,��a�2-` � Zane Na. � T�: <br /> SCHOt3L IMPACT FEE � � <br /> Account (D56} Single-Famiiy Detached House AmQUnt $ <br /> (057) Mobile Home , � <br /> . (058} Other Residential � . <br /> 923) Gc�llection Fee ' <br /> Exempt [�] Yes [� No How Qetermined <br /> - ^ , <br /> PARKS AND RECR�ATidN FEE � <br /> Land Account Land Credit Land Tota! <br /> Recreation Account � Rec�e�tion Credit Recreatlan Tota! <br /> Zone ' TOTAL AMOUNT $ 7�0�, �� <br /> Exempt ❑ Yes ❑ No How Determined � <br /> L.fBRARY F�E � � ' � <br /> l..and AcGaunt �and Gredlt Land Tatat <br /> Facility Account Faciljty Credit Facility Totai . <br /> Exempt ❑ Yes [_] Na How Determined � Totai Amaunt _���� <br /> RESOURCE FEE � �RU " � <br /> TOTAL AMOUNT ' � <br /> Prepared BY Checked Ry <br /> NO C�RTIFlCATE OF CICCUPANGY tNILI. gE ISSUED OR FiNAi. iNSPECTIQN <br /> PER�t�RMED UNTIL THE TtJTAL AMOUNTS LISTED HA\/E <br /> BEEN PAlD A�lp <br /> REGElPTED �OR BY A GENT�AL.F'�RMITTING OFFICE.�F PASGO COUNTY <br /> Acknowledgement below do�s not lmply acceptance of concurrenCa,but s{mply recaipt of a copy af this form,placln� <br /> the bullding psrmit ownec an no##ce of this assessmant and tha condltinns of pa�rment far sama. <br /> ' . <br /> pATE R�CElVER BY <br /> RECEIPT NO. DATE yy <br /> + <br /> -'�._ <br />