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i <br /> . ..; � ` ' <br />� � 1 <br /> , t�A�CO �+�UNTY� FL�J�RIDA � <br /> , <br /> . , <br /> . , ; <br /> � . Permit No. l��f� <br /> , <br /> Qate Petmitted �o- 2-8-/7 • <br /> '� Suiider NametOwner Name ��.��=1���.� Control# i <br /> r '� <br /> � Courity Parcel No. 0�Z�-Zj—t3��? 0-D!)�d p:-Qt�cj SubDiv: �i ��L7 � <br /> Addressl�ocation <br /> �05�R nf'� �.�e�e. � ' <br /> 'ClassificationlType of Use c5 t, �E , ( <br /> �TRANSPORTATtON iMPAGT�FEE Rate: Sq Ft Unit; 3�c.3� � <br /> � . <br /> �Exempt []Yes ❑ No How Determined I, <br /> � � impact Fae Amaunt $ ���2-�� Zone No. � TAZ: I� <br /> i <br /> �SCHOOL IMPACT FEE . <br /> Accaunt (056) Single-Famlly Detached House Amount $ ��;� 7�� t�? <br /> � (057) Mobile Home . <br /> (058) Other Residentiai � <br /> , - 123j CoiCection'Fee <br /> I ?Exempt �Yes [�Na � How:Determined <br /> � iPARKS'AND'RECREATION FEE <br /> ;Land Rccount Land Credit Land Totat <br /> . � �Recreation Account Recreation Credit Recreation Totaf � <br /> �Zone ~ TQTAL AMOUNT $ ���°�i� <br /> �,Exempt ❑Yes � No Haw determined � <br /> 'LIBRARY F@E � �i <br /> �.and Account Land Ccedit Land Totai � _ I <br /> facility Account Facility Credit Facflity Totai <br /> Exeri�pt ❑Yes ❑ No How Defermined Total Amount '-� <br /> RESdURCE FEE ERU <br /> - l'OTAL AMOUNT � .. <br /> ' - _ � <br /> Prepared By ' Checked By " <br /> ' NO CERTIFICATE OF OCCUPANCY 1htILL BE tS3UER t�R FtNAL 1NSPECTION <br /> AERFORMBm UNTlL THE TOTAL AMOUtdTS LISTED HAVE <br /> BEEN PAID ANQ ' <br /> � RECEIP7Ep Ft3R BY A CENTRAL PERMITTING OFFtCE O�PASCO COUNTI( I � <br /> E <br /> � <br /> Aoknowiedgemant bslow doea not Impty acaeptanee of concursenca,but slmply caceipt of a copy of this torm,placing <br /> the butldtng permft owner on notice of this assessment and tha conditions of payment for sama. <br /> DATE RECEIVED BY <br /> RECEtP7 NQ. DA7E BY ' <br />