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, <br /> 7� •'1 <br /> �� <br /> �a��a c�u��r�r, �L��r�� <br /> Permit No. ���"/f <br /> Date Permitted j-�_j� <br /> Builder Nam�/Owner Name //C /r�'c�,1. Control# <br /> County parcel No. _��,��2,-�(��...�Z��,�.��(� SubDiV: _ ��7 r�'� <br /> Address/Location Z Gc'cSS t�cJ� �r,�. �}'�- � <br /> Classification/Type of Use /C..�'IGC� ca-Y <br /> ���� <br /> TRANSPORTATIfJN IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt �] Yes [� No How Determined <br /> � lmpact �ee Amount $ ���,j�..D(� Zone No. T,qZ; <br /> SCHOOL IMPACT FEE <br /> Account (Q56} Singie-Family Detached Nouse Amount $ ,.- <br /> (057) Mobi(e Hame �' � — <br /> (058} Other Res�dentia! <br /> 123} Collection.Fee <br /> Exempt Yes [� No How Determined ' <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Tatal <br /> Recreation Accaunt Recreation Credit Recreation Total <br /> � Z��� T4TAL AMOUNT $ ��i f=c.S� <br /> I Exempt [� Yes � No Haw Determined <br /> �.IBRARY FEE <br /> Land Account Land Credit Land Tota! <br /> Facility Account Facility Credit Facility Tatal <br /> Exempt [] Yes [� No Haw Determined Total Amount `�' '""� <br /> ', �..... <br /> RESOURC� FEE ERU <br /> TOTA�.AMC3UNT <br /> � <br /> Prepared By � ' Checked By <br /> NO CERTIFICATE QF 4GGUPANCY WIL[. �E ISSUE�I t}R FINAL.INSPECTION <br /> � PERFCfRMED UNTIL THE TO`TAL AMOUMTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEiPTED FOR BY A CENTRAL. PERMITTiNG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but slmply recelpt of a copy of this farm,plactng <br /> the building permit owner on natice o#fhis assessment and fhe conditions of payment for same. <br /> ' DATE RECEIVED BY ' <br /> � <br /> RECEIPT NO. DATE gY <br />