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_ _ __ ____ _ —I <br /> i <br /> 7j <br /> % Es"�'�4►t7�� ��1����y F�����J�'1, <br /> � <br /> �' <br /> " �� Permit No. /!r>�.� � <br /> I <br /> , Date Permitted /z-�-/,,�!"' I <br /> Buiider NameJOwner Name ��T t��t� ��)lGf�!�"S'��G Control # • <br /> ' � r <br /> Gounty Parcei No. C,�y-Zl-2/- Dbo--o�3,�a--D�.Z�a SubDiv: �IVer���� <br />� - <br /> Address/�acation s,�� 2 C7(, �,S���1 ��GL� �y� '�'� `�Z^ <br /> � / <br /> 7 . _—`' <br /> � Classificationti'ype of Use �r�1 � r t <br /> �� . <br /> , TRANSPORTATIt�N IMPACT FE Rate: r��{ �(� Sq Ft Unit: f �I�� <br /> ; Exempt [� Yes ❑ No Haw Determined <br /> I <br /> ; � Impact Fee Amount $ ��P 3 Z" ' �� Zone No. TAZ: <br /> SCHOOL IMPACT FEE 1� d� <br /> ', Account (056) Single-Family Detached Hause Amount $ 7�' u � �p� �'� <br /> � (057) Mabile 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 /> i <br /> Recreation Account Recreatian Credit Recreatian Total <br /> , Zone TOTAL AMOUNT �$_�'_�.. s ��i <br /> �, . <br /> , Exempt [� Yes ❑ No How Determined <br /> i <br /> I.tBRARY FEE <br /> l.and Account l.and Credit Land Total <br /> Facility Account Facifity Credit Facility Tatal <br /> Exempt ❑ Yes ❑ No How Determir�ed Totai Amount������ <br /> RESOURCE FEE ERU � <br /> TCJTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF C?CGUPANCY W{LL�E ISSUEt? UR EINAL INSPECTION <br /> PER�ORMED UNTIL THE T07AL AMOUIVTS LlSTED HAVE <br /> BEEN PAID AND <br /> RECEtPTED FOR BY A CENTRAI. PERMITTING OFFICE OF PASCO C�UNTY <br /> Acknawtedgerz►ent be(ow does nof impiy acceptance of cancurrence,but simply receipt of a copy of this form,placing <br /> the bullding psrrnit owr►er an notice of thls assessment and the cond'stions of payrrrent for same. <br /> DATE RECEIVED BY <br /> RECEiPT NO. DATE BY <br />