Laserfiche WebLink
.,. <br /> , <br /> � ����i� �i�����y ��.��1'��� <br /> - � '_ Permit Rfo. ��� � , <br /> Date Permitted 2-� <br /> yBuilder NamerOwner Name ,.�,�,�����y� Contro!# <br /> � <br /> CountyParceiNo, �`j�-2(o-L[._Q(��p.-()Q7Qp�3�5 SubQiv: �� �R-�� <br /> ;_ AddresstLocation UT 4 I U�l �,J j�J <br /> 5'- � <br /> x CtassificatlonCCypa of Use ����� ►� <br /> �,.. <br /> s:r TRANSPORTATION tMPACT FEE Rate: Sq.Ft UniE: 2, 3�i 2 <br /> �', <br /> "� Exempt []Yas [� No� Mow Determined <br /> �; <br /> ,+� <br /> r � Impact Fee Amaunt $. �r�3 2' Zone No. TAZ: <br /> r; <br /> x;;� . <br /> ��,:. <br /> �;'�; SCHOOL tMPAGT FEE <br /> �`,;? Account (056} Singis-Famlly Detached House Amount $ ��7�P.�� <br /> (057} Mobile Home <br /> (058) Other Restdentlal <br /> ' 123} CoUection Fee <br /> - Exempt [�Yes Q No How Determ(nad <br /> PARKS AND RECREATION FEE <br /> } <br /> � Land Account Land Credit Land Total <br /> Recreation Accaunt Recreation Credit �Recreation Tota{ <br /> Zone TOTAL AMOUNT $ 7��cS,�o <br /> � Exampt �Yes ❑ No How Determtned <br /> � LIBRARY FEE <br /> 4.' <br /> -, Land Account Land Credit Land Tota! <br /> Faciliry Account FaciNty Credit Facifity'fatai <br /> �>'; <br /> Exempt ❑Yes ❑ No Naw Qetermined Totat Amaun# _���� <br /> � RESOURGE FEE ERU <br /> TOTAL AMOUNT ' <br /> Prepared By , ____ _ Checked By <br /> ' NO CERTtFiCATE OF OCCUP'ANiG'�WILL BE ISSUED OR FINAL INSPEGTION <br /> � PER�ORMED UNTfL TNE 7Q7AL AMOUNTS i.iSTEp HAVE <br /> � �EEN PAlD AND <br /> REGEIPTED FOR BY A CENTRAL 6�ERMi1?!NG OFFIGE OF PASCO COUiVTY <br /> :`; <br /> ` ;�' Acknowledgement betow doea not Imply acceptance of concutrenos,but slmpty recelpt of a copy of thfs form,piactng <br /> I the buildtn0 permft owner on natice of th}s assessmant and tha condlUans oi payment for same. <br /> �;, <br /> �,; <br /> DATE RECEIVED BY <br /> RECEIPT NQ. QA7E BY <br /> � ' . _ . .. ' <br />