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� <br /> ! <br /> � <br /> ,? I�J�^�,S6d��! .4i���tlTY� ��.o1'��Q� <br /> . .' Permit No. � /��� � <br /> Date Permi�ted /—r�—C'� <br /> Builder Name/Owner Name �t�Y�� ��TY`����U Y� Cantroi# <br /> County Parcel No. dy 2-�'x��63o0-DOOOD-Q3l o SubDiv: r l�IddG� { <br /> AddresslLocation ,fd Z tJD sv<c�8S�d0�t ��YCt�- ' <br /> CiassificationiType of Use �.�i(�P�`�t'd� - CDnAPr� � <br /> ��p��/ II <br /> TRANSPOR7ATION IMPAC7 FEE � Rate: Sq Ft Unit: _���-X- <br /> Exempt ❑Yes [] No �How Determined �' <br /> � <br /> � Impact Fee Amount $ � � Zone No. TAZ: � <br /> I <br /> SCH40L 1MPACT FE� <br /> Rccount (056) 5ingie-Family Detached House Amount $ � <br /> (057) Mob11e Hame <br /> (058} Other Residential <br /> 123) Collection Fee <br /> Exempt [�Yas ❑No How Determined <br /> PARKS AND RECREATIt}N FEE <br /> Land Account Land Credit �and Tatal <br /> Recreatlon Account Recreation Gredit Recreation Totai <br /> Zone � T(?TAL AMOUNT $ `�ljr 9�c`�� <br /> Exempt []Yes [ No Now Determined <br /> LIBRAE2Y FEE <br /> Land Accaunt Land Credit Land Total <br /> Facility Account Facility Credit Facility Tota{ <br /> Exampt ❑Yes [] No How petermined Total Amount c� <br /> RESG?URCE FEE ERU <br /> TOTA�AMQUNT <br /> Prepared By ` Checked By <br /> NO CER7iFtCATE OF OCCUPANCY WII:L BE lSSUED OR FINAL{NSPECTtON <br /> PERFORMED UN71L fiHE TOTAL AMOUNTS LiSTED HAVE , <br /> BEEIV PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFtCE OF PASCO COUN'TY �; <br /> i <br /> f <br /> Acknowiedgement beiow does not Impty accaptance of concurrence,but simpty recslpt of a copy af thls form,ptacing � <br /> the buUding permtt owner an natice of this assessment and th�condlUons of payment for sama, � <br /> . i <br /> i <br /> a <br /> 1 <br /> DATE REGElV�D BY ! <br /> RECEIPT NO. DATE BY ; <br /> , � <br /> � <br /> � <br /> . • � <br /> . . . .. , <br /> � <br /> �-�� ....._.. .�._.,���....�, �_�..,�._. _-___n <br /> �-__.. ..-_n-_-. - -- ---- -- <br /> ___�:,� -�- _. t-- _________________ <br />