Laserfiche WebLink
it• •1�� • ' � <br /> i � <br /> � �� .. � :� .:� :� ���c� co�Nrv, F�a�tD�► � <br /> . , o <br /> � '� ' Permit No, r Q , <br /> Date Permi�ted — / �l�" <br /> Builder Name/Owner Nam�e ���� Ca{2�Y-� Control# ' <br /> County Parcel No, /�--2�� Z�—Q��d— Ovd��—�<5 9j}SubDiv: AZ�-/ /?��' <br /> Address/Location 3����p �'T�.i`�'i P� J�0�2 �_���� • <br /> ClassificationlType of Use �/������� • ,.,�, <br /> TRANSPORTATION IMPACT FEE , Rate: � 5q Ft Unit; <br /> Exempt � Yes [] No How Determined � <br /> � Impact Fee Amount $. ��3Z �0� Zone Na. TAZ: <br /> SCHOOL IMPACT FEE � � � � <br /> Account (056) Single-Family Detached House Amount $ _ � <br /> ' (057) Mobile Home � . <br /> , (058) Other Resldentlal � ' � � <br /> 123) Collectio� Fee ' <br /> Exempt Yes [� No How Qetermined <br /> PARKS AND RECR�ATION FEE � ' �� <br /> l.and Account ' Land Credit Land Total <br /> Recreation Account � Recreatlon Credit Recreatlon Total <br /> Zone � � TOTAL AMOUNT $ ��p��S� <br /> � <br /> Exempt [] Yes [] N� How Determined ' <br /> LIBRARY FEE � . <br /> l.and Account �.and Credit Land Total � <br /> Facility Account Faciljty Credit Facilify Total <br /> Exempt � yes [] No How Determined • <br /> . Total Amount <br /> RESOURCEFEE � ERU ' <br /> TOTALAMOUNT . <br /> Prepared By . � � Checked �y <br /> N� CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIQN <br /> PERFORMED UNTII,THE TOTAL AMOUNTS LISTED HAVE <br /> RECEIPTED FOR BY q CENT�AL P RMI IT'TiNG OFFICE�OF P <br /> ASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrenoe,but slmply recelPt of a copjr of this fo�m,placing <br /> the building permit owner on notice of this assessment and th�conditions pf payment for same, <br /> ' , . . <br /> DATE � <br /> ' R�CEIVEp! BY <br /> RECEIPT NO. DATE BY <br />