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� <br /> : _ : �Asco couN-rY, FLORIDA <br /> ' � ' Permtt No. 19Q� Z <br /> Date Permttted lt/?-�7 <br /> Builder NametOwner Nama �,oa,�.l.�H'''��m'���-. Cantrai# <br /> Gounty Pa�cel No. ��'�e—��'���0���"'���� SubDiv: L�rrLtGIP� J��i"' <br /> AddressiLocatlan �r� � �Qu--1�� ���d� ��- <br /> . f F/ <br /> CtassiflcationlType of Use =�!Q �f <br /> TRANSPORTATiON IMPACT FEE Rate, Sq.Ft Un1t: 2;��7�- <br /> Exempt ❑Yes ❑ No Haw Determinad ` <br /> � impact Fee Amount $. �J�oz3Z-- Zone No. TAZ: <br /> SGHOOL IMPAGl'FEE t� <br /> Account (056) SEngle-Family Detached Nouse Amount $ I��7�O� � <br /> {057) Mobtle Home <br /> (05S) Other Residential <br /> 123) Coliectfon Fee <br /> Exempt �Yes ❑No How Reterm[ned <br /> PARKS AND RECREATION FEE , <br /> Land Account Land Cradit Land Tatai <br /> Recreation Account Recreation Credlt �Recreation Total <br /> Za�� TOTAL AMOUNT $ ��'����� <br /> Exempt ❑Yes ❑ No Now Determined <br /> LIBRARY FE� <br /> Land Account Land Credit l.and Totai <br /> Fecility Account Faciltty Credit Faciifty Totai <br /> r~!'�-�-�..� <br /> � Exempt ❑Yes ❑ No How Determined Totai Amou�rt''�_.L'_�� <br /> RESOURGE FEE ERU <br /> TOTA�AMOUNT � <br /> Prepared Sy � Checked By <br /> NO CERTtFiCATE OP OCCUPAWGY WtLL�E{SSUED OR EINAL INSPECTION <br /> P�RPClRMED UNTtL THE TOTAL AMOUN7S USTED HAVE , <br /> BEEN PAID AND <br /> RECEiPTED F�R BY A CENTRAL PERMITi'ItVG O�FICEOF PASCO COUNTY <br /> Acknowtedgement bsiow doss not Imp1y acceptance of concurrence,but simply recetpt of a copy of thls farm,plecing <br /> the bullding permit owner on no8ce of this assessment and tha condiUons of payment for sama. <br /> DATE RECE{VED 8Y <br /> � RECEIPT NO. DATE BY � <br /> � <br /> i . , ' <br /> i . _ . .. , <br /> � <br /> � --- <br /> � - <br /> _ �__ -`"` <br />