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E PASCO COUNTY, FLORIDA <br /> . •P�rgtit No. 6�• . <br /> 1\ Date Patmlkted <br /> f Builder Name/Owner Name ---Control# A•..,�* <br /> a County Parcel No.2-q--U 21- 0-c60 to t136,1f SubDiv: rx <br /> AddresslLocatlon 8 <br /> ti Ciassiticatlontfype of Us# 7� i <br /> TRANSPORTATION IMPACT FEE ate.. Sq.Ft Unit: - 7& <br /> Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount,$. �! Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (058) Single-Family Detached House Amount <br /> (057) Mobile Home <br /> (055) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> t <br /> Land Account Land Credit land Total <br /> r j <br /> Recreation Account Recreation Credit :Recreation T��oteppt.. w <br /> Zone TOTAL AMOUNT $ <br /> Exempt []'Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Facttity.Acoount Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount <br /> RESOURCEFEE ERU <br /> TOTAL-AMOUNT <br /> Prepared By Q. Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BEISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of eoncuffence,but ahoy receipt of a copy of this form,placing <br /> Me tiulWall permit owner on notice of We assessment and the con0ons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> M <br />