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- —'=.tc^ � _- _ ' <br /> Y <br /> � � � � �� PASCO CQUNTY, FLC►RIDA <br /> , . . <br /> � Permit No. j���� <br /> Date i'ermitted � <br /> Builder NamelOwner Name �„Q�y�,f--��d77�tE'�' Contro!# , <br /> , County Parcel No, ��-��'2-f�� 7D--Q 0 D -l��Subpiw �l 1 I��� ; <br /> ' AddresslLocation � G2(if Z°vt � �.J� <br /> j � <br /> 'ClassificationiType of Use <� �' f� r <br /> �TRANSPORTATiON IMPACT FEE Rate: Sq Ft Unit Tj �7 k� <br /> � ;Exempt []Yes �} No How Determined <br /> � ,impact Fee Amount $ �! ��' Zone No. TAZ: <br /> . SCHOdL 1MPACT FEE t2 � <br /> ,Account (Q56) Single-Family Detached House Amount $ _ '�a V�� ! Z'� <br /> ' � (087) Mobite Home ! <br /> (458) Other Resldential � - <br /> �i 23} Coilection Fee <br /> �Exsmp# �] Yss Q No � Now�petermined <br /> � ;PARKSAND RECREATIf3N FEE <br /> Land Account Land Credit Land Totai <br /> . ;Recreation Account Recreation Credit Recreation Tatai <br /> , Zbne � TOTAL AM(JUNT $���c7.�a � <br /> ;Exempt � Yes � No How Determined � �, <br /> _ � <br /> 'LIBRARY FEE ' <br /> Land Account Land Credit Land Tota! � ' <br /> Facjlity Accaunt Facilify Credit Facility Tota! <br /> ,Exempt [�Yes [� Na How Defermined Tota!Amount��` � <br /> - . � <br /> RESOIiRCE FEE ERU , <br /> � .TOTAL AMOUNT _ � <br /> _ i <br /> �Prepared By � GhBGked Sy i <br /> , � <br /> NO CERTlP{CATE OF OCCURANCY WiLL SE tSSUED t)R FINAL INSPECTIUN � <br /> � <br /> PERFORMED UNTIL THE TOTAL AMOUN'fS LISTED HAVE j <br /> BEEN PAtD AND ' <br /> � RECEIP7ED FOR SY A CENTRAL PERMITTING OFFICE OF PASGQ GOUNTY I <br /> Acknowledgement be(ow does not Impiy acceptance of concurrence,but slmply recelpt of a copy at thls form,piactng ' <br /> � the building parmtt owner on notlee of thls assessmanY and thQ conditfons af payment for same. <br /> DATE REGE{VED BY <br /> RECEIPT R10. DATE BY <br /> � J . . .. � i <br />