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4 <br /> i <br /> PASCO COUNTY, FLORIDA <br /> .. ' P�r�nit No. •2-1�� <br /> Date Pwnittad 0— <br /> Builder Name/Owner Name Lm at--1 k Control <br /> t �q— SubDiv: ~` <br /> County Parse!Na. ��b f lt1 L�� ' <br /> Address/Location 3 <br /> 7 <br /> Classilicatloni Type of Use <br /> pp TRANSPORTAT40N IMPACT FEE Rate: Sq.Ft Unit: , i <br /> EG Exempt []Yes ❑No How Determined <br /> I <br /> Impact Fee Amount . 3! 3 Z` Zone No. TAZ: <br /> I <br /> SCHOOL IMPACT FEE <br /> Account (055) Single-Famlly Detached House Amount <br /> (057) Mobile Home <br /> ¢ (058) Other Residential <br /> tFt 123) Collection Fee <br /> Exempt [�Yes 0 No How Determined <br /> PARKS AND RECREATION FEE <br /> ' Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> �+p w <br /> Zone TOTAL AMOUNT $ 70 "F0 <br /> Exempt []Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Faclitty.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total AIt10Un� I <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared B f Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WALL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICR OF PASCO COUNTY <br /> Acknow%dgoment below does not Imply acceptance 0110 <br /> fco but simply recolpt*to copy of this form,placing <br /> the bmdtdlop permit owner an notice of this oesseame nt end the conditions or payment for name. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> A <br />