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• , � ' �y, <br /> M� ` <br /> �: P'A�C� G�►llN1"Y, l�LOI�IIQ�A►► <br /> . . . Permtt tVo. �,��Z<����_ <br /> - Date Permltted �'-c3 <br /> Builder NamelOwner Name C iJ� � `-4 �- Control#' <br /> County Parcel No, ��2(e-Z(-d(�t�0 �L�7bBb-d�l�SubDiv: C��6�� <br /> ,: n�� r <br /> � AddresslLocation �J +�(/Ct. � � � <br /> '��' Classificat4onlType of Us� �� !t' �L <br /> �' . <br /> f� � <br /> - TRANSPCIRTA'[i�M iMPACT FEE Rate: Sq.Ff Unit: � <br /> Exempt [�Yes [� No Haw Determined <br /> r: <br /> - � tmpactFeeAmount $. ����� C� ZoneNo. TAZ: <br /> ti;? . <br /> t <br /> s'`� SGHOf3L IMPAGI'FEE <br /> ,,.�, ������7�.2� <br /> Accaunt. (056) Singls-Fami{y Detached H�use Amount $ <br /> fi°� (057) Mabtie Hame • <br /> � {058) Other Resfdential <br /> 123) Coitection Fee <br /> Exempt [�Yes Q No How Determined <br /> ` PAFZKS AND RECREATION FEE <br /> Land Account Land Credtt l�nd Totat <br /> Recreation Account Recreat'son Credit �Recreafion Totat <br /> ' Zone TOTAL AMOUNT $ �jp��,� <br /> Exempt ❑Yes ❑No How Determined <br /> E= <br /> LIBRARY FEE <br /> � Land Account Land Gredit Land Tota) <br /> Facility Account Facility Credit Facility Total <br /> . Exempt ❑Yes ❑ No How Determined Tatal Amoun����/ ^ <br /> � <br /> RESQURGE FEE ERU � <br /> TQTAL AMOUNT � <br /> Prepared By • �_ Checked By <br /> PIO CERYIFICA7E OF OCCUPANCY WILL BE 1SSUED OR ElNAI.{NSPEGTION <br /> PERFORMED UNTlL TNE TQTA!AMOUNTB!.lSTEQ HAVE <br /> BEEN PA1D AN!} <br /> RECElPTED FOR BY A CEAlTRAL PERMITTINC�OFEtCE�OF PASCO�OUN'!'Y <br /> Acknowtedgement below does not Imply aaceptastce of cancurrencs,bat stmply raceipt af a capy of thls fatm,placing <br /> I tha buildtng permlt awnsr an noUca of thls assessmsnt and th�condltions of paymeot far sama. <br /> � � <br /> ��� � pATE � RECENED BY <br /> RECElPT NO. DATE BY <br /> � ' <br />