Laserfiche WebLink
�— <br /> � �h4�7�.14.J lat�6�►1'�� I y F���i�� <br /> � � Permit No. � �0 � <br /> Date Permitted -' /�, <br /> Builder Name/Owner�lama dl K� '����� « Contrai# <br /> County Parca!No. (��^-�-z„� -�47�•-��1 bQ-(�����t SubDiv; j� (r�A�b �— <br /> Address(Locatlon ��2 f�� ��(��'x�P F-f t!�°.- � <br /> Classificafion(fype of Use ,.''�'��-�$�Yh t,(.y �#�'�' <br /> 7RANSPOR7A7iON iMPACT FEE Rate. Sq Ft Unit: _Zi 23� <br /> Exempt ❑Yes � No How Determined <br /> impact Fee Amount $ ,��3�' Zone No. �'AZ: <br /> SCHOOL lMPACT FEE <br /> Account (056} Singie-Family Detached Hause Amount $ �'�. `�--�P <br /> (057) Mobila Home <br /> (058} Other Residentiai <br /> 123) Collection Fea • <br /> Exempt [� Yes [] No How Determined <br /> RARKS ANb RECREATt�N F�E <br /> Land Account L.and Credit Lend Tatai <br /> Recreation Accaunt Recreation Credit Recreation Tota) <br /> Zone TOTAL AMOUN7 $ �iU����j�, <br /> Exempt [� Yes [� Na F4ow Determined <br /> LIBRARY FEE <br /> l.and Account t�and Credit l.and Totaf <br /> fiaciliry Account � Facilify Credit Facility Totel <br /> Exempt [� Yes � No How Determined Tota!Amount �i^ <br /> RESOURCE FEE ERU <br /> 70TAL AMOUNT <br /> Prepared By � Checked By <br /> NO GEEt7tFlGATE OF C3GCUPANCY WILL BE ISSUED OR FiNAL(RISPECTIOId <br /> PEi2FORMED UNTIL 7HE TOTAL AMQUidTS LlSTED HAVE <br /> SEEN PAlD ANb <br /> REC�IPT'ED FdR BY A CEA1fiRAL PERMITTING O�FICE OF PASGO COl1NTY <br /> � <br /> Acknawledgement be(aw doas not imply acceptance of concurcence,but slmply�ecalpt of a copy of this form,ptactng <br /> ihe building permlt owner on notice of this assessment and ih�conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECElPT Nt?. DATE BY <br /> ��_�.-,�-�.�.�..,,�.,...�...._..-.._ _�.____.- ` <br /> �.�a,.�.� <br />