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•` �/'►��5� �Lc��1tl 9�p t��.�I'�A�� <br /> ,.�� PermltNa. /� ZSGZ <br /> Date Permitted /-3�� <br /> � Bullder NamelOwner iVame �P..v�,r�rz,r ��'�-� Control# <br /> Caunty Parcel No. Z`�=�v-2j.dtp�jo.,a�fv�..(>�2 p SubDiv: ���Gn. j�,'�n¢f- <br /> -- , + c <br /> , AddressiLocation 312�3 ���d� C`��ld�� ��+� <br /> 1: t /7 � <br /> i�• CtassiflcationtType of Use �r� t{ -�m, �y .. <br /> ;:;-:. <br /> �' TRANSPORTAT60N IMPAGT FEE Rate: Sq.Pt Unit: �� <br /> tr, �— <br /> '�•-� Exempt [�Yes (� No Ho�r Determined <br /> ��' <br /> {;:. <br /> � impact Fee Amount $, �(� 3Z. L� Zone No. TAZ: <br /> �:-" � <br /> . SCHOOL lMPACT FEE <br /> �»' � Account (056) Singfe-Famlly Detached House Amaunt $ ��°j 7 .�� <br /> �;°�.. <br /> (057) Mabite Nome <br /> t�. (058j Other Residential <br /> 123) Collectfon Fee <br /> � Exempt [�]Yes ❑No Mow Determined <br /> PARKS AND RECREATiON FEE <br /> Land Account Land Credit Land Totat <br /> Recreaflon Account Recreation Gredlt �Recreatlon Total <br /> Zona TOTAL AMOUNT $ '�(Q�. S�, <br /> Exempt []Yes ❑ No tiow Determined <br /> - � LtBRARY FEE - <br /> Land Account Land Credit Land Total <br /> �4,_ Factiity Accaunt Faci(ity Credit Facility 1"otai <br /> , Exempt ❑Yes ❑ No How Determined Totai Amoun�=� <br /> RESOURCE FEE ERU <br /> f TOTAL AMOUNT '-7 ' <br /> Prepared By ,�i� `� Checked E3y <br /> � _ <br /> NO CERTlFtCATE OF OCCUPAPfCY lNILL BE ISSUED OR FINAL INSPECTION <br /> � NERFORMED UNTIL.THE TOTAL AMO!lNTS LISTED NAVE <br /> - ° BEEiV PAtD AND <br /> REGE{PTED FOR BY A C1EN'FitAL PERMfTi'iN�a OFFiCE OF PASCd COUN7Y <br /> ,�: <br /> Acknowledgemant betow doea not Imply acceptanca of concurrence,but simpiy racelpt of a capy of this form,placing <br /> �: the bu!lding perrrtlt awner on nattce of thts assessment and thQ cand(tlons of paymant for same. <br /> _�� <br /> - QATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> �: � <br /> _��^-� <br />