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.? <br /> , ��= PASCO COUNTY, FLORIDA <br /> Permit No. �(�9�.5 <br /> Date Permitted �Zp_�y <br /> Builder Name/Owner Name �(/%�tlGf�j ����� Control# <br /> County Parcel No. �'Z Z(p�Z�_��j� a-6Z�_�3�� SubDiv: / �� <br /> Address/Location �7�jd SS r.t� �'`r �t 3 <br /> Classiflcation/Type of Use �I�S�G�p�• �p�� <br /> TRANSPORTATION IMPACT FEE Rate: <br /> Sq Ft Unit: <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $36 3z- da Zone No. T,qZ: <br /> —_ <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �— <br /> (057) Mobile Home <br /> (058) Other Resldential <br /> 123) Collectlon Fee <br /> Exempt Yes � No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TO7ALAMOUNT $ ��p�• �j� <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Faciliry Credit Facility Total <br /> Exempt � Yes �] No How Determined Total Amou� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT . <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE 70TAL AMOUNTS LISTED HAVE <br /> RECEIPTED FOR BY A CENT ALEP RMI IT1'NG OFFICE OF PASCO COUNTY <br /> Acknowledgement balow does not imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the buflding permlt owner on noQce of this assessment and thq conditions of payment for same. <br />, �. <br /> �.t� � l � �� � <br /> DATE SL�J <br /> RECEI D B <br /> RECEIPT NO. __ DATE __ gy <br /> . �. �.,.� . �._ - I <br />