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. . : P'1�►SC� C��NT'Y, �L�i�i�►/�, <br /> ' " Permit No. `9�"�� <br /> Da#e Permikted !Z-Z/-�i <br /> Bullder NamelOwner Name f�-�l'L/lQr �"� Contral# <br /> County Parcel No. �T n�~Z�^-����-��` � subQlv: ��x��P��t� <br /> AddresslLacatian �t �1 i i d u.� <br /> Classificationti'ype of Use <br /> � 1�2 i 1 <br /> 7RANSPORTATiON iMPACT FEE Rate: Sq.Ft Unit: �c�«7� <br /> Exempt ❑Yes ❑ Na Hp�Determined <br /> � impact Fee Amount $. 3 r�3�� Zane No. TAZ: <br /> SCHt�QL IMPAGT FEE �/ <br /> Account (056} Singie-Famity Detached Flouse Amount $ "f �7fp� 2-� <br /> (057) Mobile Home <br /> (058� Other Resldentlal <br /> 123) Collectlon Fee <br /> Exempt [�Yes Q IVo klow Determined <br /> PARKS AT�D.RECREAT1t3N FEE ' <br /> � Land Account Land Credit l.and Total <br /> � Reoreation Accaunt Recreation Credit �Recreatian Total <br /> � Zone TOTAL AMOUNT $ �,��.. c`,?r,p <br /> � Exempt �Yes [] No How Determined <br /> � Li8RARY FEE ' <br /> � i.and Account Land Credit �and Total <br /> I ' <br /> � Facility Account FacilCty Credit Faciltty Tatal <br /> t <br /> �. Exempt � Yes ❑ No Now Determined Total Amaunt <br /> � <br /> � RESt3URCE FEE ERU <br /> � TOTAL AMOUNT <br /> t. <br /> , <br /> , <br /> ! Prepared By � Checked By <br /> NO CERTIFIGI�TE OF OCCt3PANCY WiLL 8E ISSUED C?R FINAL tNSPECTiON <br /> PERFORNIED UNTi�THE TOTAL AMOUtd7S t,iSTED HAVE <br /> BEEN PAID ANb <br /> RECEIPTED FOR'BY A CENTRAL PERM1T71NG O�FICE OP PASCO COUNTY <br /> � Acknowiedgement belaw doas not impty acceptance of concurrenca,but slmply recelpt of a copy of this forrn,ptaoing <br /> the buAding parmit awnsr an notice of ihis essessment and fhp condlUons of payment for same. <br /> i`"� <br /> ;. . <br /> k <br /> i DATE RECEIVED BY <br /> 4, - <br /> � RECEIPT N0. DATE BY <br /> � , <br /> ���; <br /> �. , � . _ . .. ' <br /> � . <br /> � _ _ __ _ ._ • - <br /> �.__ - _ ..., __._..___ .__-..-.__ __ _.. ._. - - -- - - <br />