Laserfiche WebLink
�w <br /> .;. <br /> +� ����� ������q ������� <br /> � Y <br /> Y <br /> �f . <br /> ., .,., /� 7�� <br /> Permit Na, <br /> Date Permitted �f-t7-1� <br /> Buiider NameiOwner Name ��.+ i� ���'1'n`��'�i�� Control# <br /> County Parcel Na, � -- 'Z — �-� D--� � �Q� SubDiv: i1u,T` � <br /> � � �/ <br /> Address/Location � �{ � t � �7 �s r�.i ri� D�' �.��T <br /> � <br /> Classification/Type of Use �� M <br /> TRANSPC►RTATiON IMPAC'T FEE Rate: Sq F# Unit: <br /> Exempt [] Yes [] No How Determined <br /> . impact Fee Amaunfi $ J��P�� � Zone No. TAZ: <br /> SCHOOL iMP�►CT FEE � <br /> Accaunt (056) Single-Family Detached Hause Amount $ <br /> (057) Mabile Hame <br /> (058) Qther Residential <br /> 123) Collection Fee <br /> Exempt [� Yes [] No How Determined <br /> PARKS AND RECREATiON �EE <br /> Land Account l.and Credit Land Totai <br /> Recreation Account Recreatian Credit Recreatian Totai <br /> Zone TQTAL AM4UNT $ � � ��J� ^ <br /> Exempt �] Yes [] No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Gredit Facility Tatal <br /> Exempt [� Yes [� No Now Determined Total Amo�ont _�f���.` <br /> RESOURCE F�E ERU <br /> TOTAL AMOUNT <br /> Prepared By ' ` Checked By <br /> NO GERTlFlCA'CE O� OCCUPR,PICY WlI.L BE tSSUE13 OR �INAL INSPECTiiJN <br /> PER�ORMED UIN7iL THE TOTAL AMdUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEtPTED FOf�BY A CENTRAL PERNi1TTINC OFFICE OF PASCO COUNTY <br /> Acknowledgement below daes nat impiy acceptance of cancurrence,but simply receipt of a copy of this form,plac(ng <br /> the buiiding permit owner on notice of this assessment and the.conditions of payment far same. <br /> DATE RECE{VED BY <br /> RECEiPT NO. DATE BY <br />