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N� <br /> PASCO COUINT'Y, FLORID64 <br /> Permit No. ' (3 2,3 <br /> � Date Permitted 3—(0—[°7 <br /> Builder Name/Owner Name /�2-vt/�i,,— '�t�►'�. Control# <br /> County Parcel No. ��-2(��Z�_DD7o_pp100-- b2�O SubDiv: ��p �� <br /> � rddress/Location <br /> .. z,s �I� �.f� I � ' <br /> lassification/Type of Use �,�� �..� , �� �J <br /> RANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z��_ <br /> � xempt � Yes � No How Determined <br /> : � mpact Fee Amount $��3 2.c�a Zone No. T,qZ: <br /> � SCHOOL IMPACT FEE <br /> � ccount (056) Single-Family Detached House Amaunt $ ���, 2� <br /> � (057) Mobile Home <br /> (058) Other Residential . <br /> - 123) Collection Fee <br /> xempt Yes �] No � How Determined <br /> � PARKS AND RECREATION FEE � <br /> • and Account Land Credit Land Total <br /> 1 � � ecreation Account Recreation Credit Recreation Total <br /> • �one TOTAL AMOUNT $ �( 9 � <br /> � Exempt � Yes � No How Determined - • <br /> � <br /> LIBRARY FEE <br /> and Account Land Credit • <br /> Land Total <br /> acility Account Facility Credit Facility Total <br /> xempt � Yes � No How Determined Tofal Amount CJ <br /> RESOURCE FEE ERU <br /> ..TOTAL AMOUNT <br /> I. .. <br /> repared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> ' PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> . RECEIPTED FOR BY A CENT ALE E MITr NG OFFICE OF PASCO COUNTY <br /> cknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the building permft owner on no8ce of this assessment and the conditions of payment for same. <br /> il <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE gY <br />