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� -- —� - �i <br /> C <br /> � <br /> a <br /> � �: PASC�? �C)U�VTY, �'LC>RI�A <br /> �� <br />� ,� .. .. ��iTTtit�10. ! 1 �G-A! <br /> � Date Permitted t!-/8-l� <br /> � Builder Name/0wner Name � �. ?Y7�l1 ��C.� Control# <br /> ' Caunty Parcel No. Q�Z�i-�1-'OD`70--f�D 1OCS''���ID SubD�v: cS;t ih'�'GtGpO <br /> AddresslLocation ��L?�ZT �n''ric.cte... 'r'�`n� �,'j <br /> � <br /> ClassificatianiType af Use �% ^�m� �Gl <br /> TRANSPORTATION 1MPACT FEE Rafe: Sq Ft Unit: 2.r 2-3� <br /> � <br /> Exempt �Yes ❑ No How Determined <br /> �I Impact Fes Amount 3(��2.OQ Zone Na. TAZ: I <br /> I <br /> SCHdOL IMPACT FEE � <br /> Account (056} Single-Family Detached House Amount $ �, �'7�- 2�j � <br /> {05T) Mobile Home <br /> (q56� Other Residential <br /> 123) Collection Fee <br /> Exempt (� Yes ❑ (Vo How Qetermined <br /> PARKS ANd RECREATtON FEE , <br /> i Land Account Land Credit Land Total <br /> �i Recreation Account Recreation Credit Recreation Tota! <br /> Zone Tt?TAl.AMOUNT $ rf.�9,j(�u <br /> Exempt [� Yes ❑ No Haw Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> ' Exempt ❑ Yes ❑ No Flaw Defermined Total Amount .� <br /> RESQURCE FEE ERU � <br /> TOTAL AMOUNT <br /> '� <br /> Prepared By Checked By <br /> NO CERTIFiCATE OF OCCUPANCY WILL BE ISSUED C?R FINAL INSPEG7lC?N <br /> pERFORMEU UNTIL THE T()TAL AMOUNTS LlSTED HAVE <br /> BEEN PAlD AND <br /> RECEIPTEd FOR 8Y A CENTl2AL PERMl771NG QFFlCE OF PASCO COt1NTY <br /> Acknowledgsment below doea nat lmply aocepfanca of concurrence,6uE simpiy receipt of a copy of tfiis form,placing <br /> the bullding parm(t owner on notice of Rhis assessmant and thQ canditions of payment far same. <br /> I I <br /> DATE RECE{VED BY <br /> RECElPT NO. DATE BY <br /> I ______ . _. <br />