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;:3=' <br /> � � � �i PASCO CO�JIVT'V, �LORiDA <br /> . � , � Permit No. ��� ! <br /> ' Date Permitted �Z� <br /> Builder NamelOwner Name � � �jr i� Control# <br /> = County Parcel No, DS-Z(o—Z(_ �(��p��-0�SubDiv: �� (,�ltzGl p <br /> �,. <br /> F' Address/Location �p�Z �G 0� �ar I � <br /> �. <br /> '� ClassiflcatioNType of Use �.��q�Q �i� <br /> f>� - , <br /> k, ' <br /> �'�' TRANSPORTA'[ION IMPACT FEE Rate: Sq.Ft Unit: �, 233 <br /> i- �--- <br /> - Exempt � Yes � No How Determined <br /> �` <br /> �° � Impact Fee Amount $.�,(�3 2�� Zone No. Tp,Z; <br />� ��- SCHOOL IMPACT FEE <br /> Account (656) Single-Family Detached House Amount $ _ ��"l(P�� <br /> . (057) Mobile Home T <br /> (058) Other Resldential <br /> - 123) Collection Fee <br /> ; Exempt [�Yes []No How Determfned <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit �Recreation Total <br />' Zone TOTAL AMOUNT $ —](�`� ,�� <br /> - Exempt �Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> ,- Faciliry Account Facility Credit Facility Total <br /> : Exempt � Yes � No How Determined Total Amount�_ <br /> RESOURCE FEE ERU � <br /> TOTAL AMOUNT <br /> Prepared By Checked B <br /> Y <br /> � NO CERTIFICATE OF OCCUPAMCY WILL BE ISSUED OR FINAL INSPECTION <br /> �_ PERFORMED UNTIL THE TO'fAL AMOUN7S LISTED HAVE <br /> ' BEEN PAID AND <br /> �-�: RECEIPTED FOR BY A CENTRAL PERMITTING O�FICE OF PASCO COUfVTY <br /> ,''.� <br /> _ Acknowledgement below does not Imply acceptance of concurrence,but slmply recelpt of a copjr of this form,placing <br /> the bullding permlt owner on notice of this assessment and tha condiUons of payment for same. <br /> � DATE RECEIVED BY <br /> RECEIPT NO. DATE gy <br /> .�:__�...,._..��.�_�_».—..�.�.��.w__ ___�=.�m__ _ _-�__._ . . _.�,___.._„_r.._ :.,�.,,a.�...___�__�.... w.___�_ I <br />