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� � . . ' �: P�►SCt� ��l1NTY, �FL�Rt�A <br /> r <br /> . . . Permlt No. �g,/���� <br /> Date Permttted �.�:—7/7 <br /> Buitder NamelOwner Name �Par.r�tlp y 77���'s'Li—l..' Contra!# <br /> County Parcel No. �-�C�a—Z(—���9-�C�-lD�,�CfubDiv: t�-1 rl�Lt�°n l�.dU�t- <br /> AddresslLocatlon � � �t�� �nu��-'� L-`�° � ��� `��"� <br /> ' GlassiflcafiontType of Use ���'u'i�� +�4 <br /> . �_' <br /> TRANSPORTA`TIQN IMPAC`P FEE Rate: Sq.Ft Unit: 2� �7 <br /> Exempt [�Yes ❑ No How Determined <br /> � Impact Fee Amount $. ���a 3z� Zona M1to. TAZ: <br /> SCHOOL iMPAGT FEE �( trs <br /> Account (056) Singte-Family Detached House Amount $ "�t�s t,J��• � <br /> {057} Mobile ttome <br /> (058) Other Resldential <br /> 123} Cailection Fee <br /> Exempt [�Yes Q No How Determined <br /> PARKS AND RECREATIQN PEE <br /> Land Account Land Credlt Land Totai <br /> Recreation Accaunt Recreation Credit �Recreatlor►Totat <br /> zane TOTAL AMOUN7 $ �Gt.R-� <br /> Exempt []Yes ❑ No How Determined <br /> LtBRARY FEE <br /> Land Account Land Credit �and Tpte{ <br /> Facility Account Facility Credit Facilfty Totai <br /> Exempt ❑Yes ❑ No Haw Determined Totat Amount�_, <br /> RESOUFtCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By � <br /> NQ CEF271FICATE OF OCCUPANCY WiLL BE ISSUED OR FINAL it�SPEC7EON <br /> PERFORMED UN1'iL THE TOTAL AMOUNTS LtSTED HAVE <br /> BEEN PAtD AI�[D <br /> RECEIPTED FOR BY A CENTRAL PERMITi'IN�O�FiC�OF PRSCO COUNTY <br /> Rcknowledgement 8etow does nat Imply acceptance of concurrance,but slmply recelpt of a copy of this fo�m,placing <br /> the building parmlt owner on notice of this assessmenk and Eha conditions of paymant f�r same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY . <br /> . � , <br /> � <br />