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f <br /> � � `: PASCO GOUNTY, FLtJ�IDA <br /> ' �' Permit No, � 7 '� <br /> Date Permltted ����;�~� <br /> Buifder NametOwner Name /n O.+L�-t� �f�'�!�- �� Cantroi# <br /> County Parce►No, f�,J- �v'?--�-�1 D 70 -U6�bD'D!� subDiv: c�',`�%'�U <br /> Address/Location �Ci� YLt d2n ��+�e�i �� <br /> Ciassiftcattontfype of Use 5/�'2 !�. f/ <br /> 7RANSPORTATION IMPACT FEE Rate; Sq.Ft Unit: �52-� <br /> Exempt []Yes [] No No+�Determined <br /> � Impact Fee Amaunt , $. 3�p( ,3Z� Zone Na. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famfiy Detached Nouse Amount $ ��7(0. Z-�'i <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Coilection Fee <br /> Exempt [�Yss [] No Haw Determined <br /> PARKS AND RECREATiON FEE <br /> Land Account Land Credit l.and Total <br /> Recreation Accaunt Recreation Gredit Recreation Total <br /> Zone TOTAL AMOUNT $ `�T�7'�y <br /> Exempt �Yes �] No How Determtned <br /> L[BRARY FEE <br /> Land Account Land Gredit Land Tatal <br /> Facility Rccount Facillfy Credlt Factfity Total <br /> Exempt ❑Yes ❑ Na Haw Retermined Total Amount �r���r <br /> RESOURCE FEE ERU <br /> TQTAL AMOUNT <br /> Prepared By � Ghecked By <br /> NO CERTIFICATE OF OCGUPANCY WtLL 8E ISSUEQ OR FINAL lNSPECTIGlN <br /> PERFORMED UNTIL.THE TOTAL AMOUNTS USTED HAVE <br /> BEEN PAtD AND <br /> REGEIPTED FOR BY A CEN7RAL PERMiTT[NG OFFICE OF PASCO COUNTY <br /> Acknowledgament below daes not impiy acceptance of cflncurrence,b�t s{mply recefpt of a copy of this form,ptacing <br /> the building permit owner on nottce of this assessment and th�conditlons of payment tor same. <br /> DATE RECEIVED BY <br /> RECEiPT NO. DATE 6Y <br /> i <br />