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� '�, <br /> , , � �,' . <br /> : PA��t� ��l�N`Tl�, FL�RtD��► <br /> .,,. <br /> �. <br /> : <br />, <br /> .. . Permit No. Gfi <br /> Date Permi#ted /-2n/,� <br /> Buiider NameiOwner Name � ��'t ��STi+'k.G�� Control# <br /> I � <br /> County Parcel No. t�2-2d--2-�—UD f D—l�2-tSC�t� ��� SubDiv: C,,��'' Gc�Di�... <br /> ' Address/Location � �S�W ��' �4� 2--� <br /> Classificatian/Type of Use �����. n� C�Gt�'� <br /> TRANSPf3RTATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt ❑ Yes, (� No Haw Determined <br /> impact Fee Amo�nt $ �,36� �-- u� Zone No. TAZ: <br /> SCMOOL iMPACT �EE �„�. <br /> Account (056) Single-�amily Detached House Amount $ ___,_� <br /> {457) Mobile Name <br /> {058) Other Residential <br /> 9 23) Collection Fee <br /> Exempt [� Yes [� No Now Determined <br /> PARKS AND RECREATtt�N FEE <br /> Land Account �and Credit Land Tota! <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TQ7AL AMQUNT $ �( �'f, c��,, � <br /> Exempt [� Yes ❑ No Haw Determined <br /> LiBRARY FEE <br /> Land Account �and Credit Land Tatai <br /> � <br /> Facility Account Facility Credit Facility Tata! 'i <br /> � � <br /> Exempt [] Yes ❑ Na How Determined Total Amount_��'" <br /> RESOURCE �EE ERU <br /> T4TAL AMOUNT <br /> Prepared By Checked By <br /> NO CER71FlCATE OF OCCUPANCY WILl. BE ISSUEQ 4R FINAl. INSPECTION <br /> PERFORMED UNT!!.THE Tf3TAL AMOUNTS LiSTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A GENTRAL PERMlTTING ClFFICE OF PASCO COUNTY <br /> I� Acknowledgemenk below does nak imply acceptance af concurrence,but slmply receipf of a copy a#this farm,piactng <br /> fhe building permit owner on notice of this assessmant and the conditions af payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />