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. ' �, <br /> .t <br /> : PA�CO COUI�TI(, FLORIDA <br /> Permit No. r �3�� <br /> Date Permitted -.g - <br /> Builder Name/Owner Name )`/-[l�i��O�'(��i�r�v`���Control# <br /> County Parcel No. ���Z/-�j"/�j_dl�(�G� SubDiv: ���. <br /> AddresslLocation �� /���d� � �L Z�� <br /> Classification/Type of Use /1ijll��e ��� <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $ U��J�Z , ��� Zone No. T,qZ: <br />, SCHOOL IMPACT FEE <br />, Account (056) Single-Family Detached House Amount $ _ <br /> (057) Mobile Home �� <br /> - (058) Other Residential <br /> 123) Collection Fee <br />' Exempt [� Yes �] No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> _ Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $��73�7\� <br />' � Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Faciliry Credit Facility Total <br /> Exempt � Yes � No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By r Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgemant below does not Imply acceptance of concurrence,but slmply receipt of a copy of this form,placing <br /> lhe buflding permit owner on notice of this assessment and thQ condltions of payment for same. <br /> I <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE gy <br />