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��.-��-; <br /> - ----x��.:�,-,�p� - -- - - - - �._._� <br /> V <br /> i <br /> _ �AS�O COU�1`C�(9 �LC)�IC�A <br /> � ` ��: Permft No. � t J�� <br /> Date Perm{tted 2��-�(�, <br /> Builder NamelOwner Name �c:.r-L�tiimse-S Control#' <br /> County Parcef No. 2-�Z�-2(-(�Oq�-b00{�i�(�� SubDiv: �'Aq�rt JC�.,�- <br /> � AddresslLocation 3 20.`� 0�tt..L��2.t'1 Ct71��Ot..t� d-�- <br /> Cfassificatlontt'ype af Us� S[��1R j�- `t�t� ��! <br /> . � <br /> ��� TRANSPORTA,TION IMPACT FEE Rate: Sq.Ft Untt: 31 Q��_ <br /> Exempt []Yes [] No flouu Determ(ned <br /> c � ImpaatFeeAmount $, �.(�3��OU ZoneNo. TAZ: <br /> f`�' SCHOOL IMPAGT FEE <br /> ��-�f� Account (056} Single-Family Detached House Amount $ �ylg Z�pt� <br /> {U57) Mobila Home . <br /> - (058) Other Resldentla{ <br /> , 123) CoBection Fee ' <br /> Exempt [�}Yes ❑ No How Determined <br /> pARKS AND RECREATION FEE <br /> Land Account Land Credit I.and Totai <br /> Recreatian Account Recreation Gredit �Recreatton 7otal <br /> Zone TOTAL AMpUNT $ ��� � <br /> Exempt �Yes (� No How Determined <br /> . L18RARY FEE <br /> Land Account Land Credlt land Total <br /> Fac(lity Accaunt Facility Credit Faciitty Total ' <br /> -: Exempt ❑ Yes [] No Haw Determined Total Amaur��i-�-� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT ' <br /> Preparad By Checked By <br /> NO CER7IFICATE CIF OCCUPANCY WiL.L BE ISSUED OR FfNAL INSPECTION <br /> � PERFORMEb UN7tL 7NE TOTAI.AM�UNTS LISTED HAVE � <br /> SEEN PAib APID <br /> RECEIPTED FOR BY A CEN7RAL PERMITflNG O�PiCE OF PASCO COUNTY � <br /> � <br /> Acknowledgement below does not imply accaptance of conourrence,but slmply recefpt of a copy of this form,placing <br /> . the buiiding parmit ownar on noUcs of this assessment and fh�conditions of peyment for same. <br /> . DATE RECElVED BY <br /> RECEIP7 NO. DATE BY <br />