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� , , - <br /> � ,- . , � PASCt3 �t�►l)tVTY, �=Lt�RIDA <br /> , , <br /> � . Permtt No. ��� <br /> Date Permitte /t- I�Z 17 <br /> Builder Name/�wner Name I�Yt/lQ.r ��GM'Y�� ��C°� Controt#' <br /> County ParceI No. .Z�-?,_,jo-2(-��l(o�-.(�t�QO-C}�/l0 SubCliv: ��t�i�Pn �[ue� <br /> Address/�ocation � (�'?l�p GC,1 �P.r1.. t�t�tlDGt7 �� � <br /> ClassificationtType of Use ��p -�,,yu��-�o�_ <br /> TRANSPORTATION fMPACT FEE Rate: Sq.Ft Unit: � �J� <br /> Exempt �Yes � No Haw Determined <br /> � tmpaat Fee Amount $. �, ��.� Zone Na. TRZ: <br /> SCHOOL INIPACT FEE <br /> I Account (056) Singfe-Famify Detached House Amount $ ��'7�, 2� <br /> (057) Mobile Home <br /> (058) Other Residentiat <br /> 123} Coitectton Fee <br /> Exempt []Yes ❑No How petermined <br /> PARKS AND RECREt�TtON FEE <br /> � Land Accaunt Land Credit Land 7ota1 <br /> ' � Recreation Account Recreation Credit -Rec�eation Total <br /> Zone TOTA�AMt7UNT $ '7(Q�S�, <br /> Exempt [�Yes � Na How Determined � <br /> � L{BRAR.Y FEE <br /> � Land Account �.and Credit Land Tpta) � <br /> � Facility Account Faciltty Credit Facitity Total <br /> ' Exempt [�Yes � No Haw Determined Tata{Amaunt � '"f <br /> RESOURCE FEE E,RU <br /> TOTAL AMOUNT � � <br /> Prepared By Checked By <br /> NO CERTiFICATE OF OCCUPANCY W{LL BE{SSUED i3R FINAf..INSPECTIO�1 <br /> PERF.ORMED UNT1L THE TC?TAL AMOUMi'S LiSTED HAVB . <br /> BEEN PAID AND <br /> RECEIP7ED FOR BY A CENTRAL PERMITFING OFFICE QF PASCO COUNTY <br /> Acknowledgamsnk below does not Imp{y acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> 'I <br /> the buiiding psrmlt owner on notice af this assessment and fhQ conditlons of payment ior same. <br /> i . <br /> I <br /> i <br /> � DATE - RECEIVED BY . � <br /> '', RECEIPT NO. DATE BY <br /> � , <br /> t � <br /> .�..._..s. _- ��-- - <br />