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_ _ - ---- =-- - - - -- _ _ _ - <br /> � <br /> ' � � � : PASC� Gt)UNTY, �FL�ORIDA <br /> � " _�_ Permlt No, ��-t 3D�_ � <br /> Qate Permi�ted 2-�t cS""�{� � <br /> Builder NamelOwner Name �2�.Y�A.�r�___�t_.`'�-_ Control#' <br /> n. <br /> � Caunty Parcel No. Z`�—Z-�O'2.-�-�7 d�(�^QU�l -�(�SubDiv: � �bt._fC�{,�r- <br /> Addresstl.acation 3 zt a Y(/�p tA,t(�,�Q,s� Ct-a��Lk.t� �., <br /> �, t � <br /> ''�` Glassificat(onlType of Use �t�'�'i �� 'f�mn��! . <br /> F� • <br /> �< <br /> �� TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: c�7'� <br /> �.. <br /> �t-'� Exempt ❑Yes ❑ No Ho�r Determtned <br /> � 'P �5 . <br /> ;.;;; impact Fee Amaunt $. ��(� 32� Zona No. TAZ: <br /> F��.; <br /> ;->�• SCHOOL iMPAGT FEE �� <br /> %' Account (458) Single-Family Detached tiouse Amount $ ���(v� � � <br /> ,,; <br /> � (05T) Mobiie Nome <br /> - ' (058) Other Residential <br /> 123) Cotlectian Fee <br /> .. � Exempt [�]Yes ❑Na How Determined <br /> ' , PARKS AND REGREATit?N FEE <br /> Land Accaunt Land Credit Land 7otal <br /> Recreation Account Recreattan Credit �Recreatton Totaf <br /> , Zona � TOTAL AMOUN7 $ �� t • �� <br /> -. Exempt ❑Yes � No How Determined <br /> LIBRARY FEE <br /> l.and Account Land Credlt Land Tatal <br /> Facility Account Faciliiy Credlt Facll(ty Totat <br /> yw Exempt ❑Yes ❑ Na Now Determ(ned Total Amaunt <br /> . �-- <br /> ' RESOtlRCE FEE ERU <br /> TOTAL AMOUNT � <br /> Prepared By Checked 8y <br /> MO CERTIEtCATE OF OCCUPANCY WlL�BE ISSUED OR FIAIAL tNSPECTION <br /> PEf2POi2MED UNTII.'fHE TO7AL AM{?UN'fS LtSTED HAVE <br /> � BEEN PAID AND <br /> � RECElPTED FOR BY P►CENTRAL PERM1TiiNG OFFiCE•OF PASGO COUNTY <br /> " Acknowledgement befow does not imp�y acceptance of cancurrence,but simply recelpt of a copy of thls farm,ptacing <br /> the 6uqdMg parmlt owner on notice of this assessment and thQ condittons of payment iar same. <br /> ,� <br /> ' DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> _..._._. ,— _ _ - <br />