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PASCO COUNTY, FLORIDA <br /> Arvt No. 2 7 <br /> 4 Date Permitted „�j�.:� <br /> ' Builder Name/Owner Name `^� �Control#" <br /> i <br /> County Pa{Cei No. P -w(ll•0w?-13Zs SubDiv: ` <br /> Address/Location c3J3J <br /> Classiflcadon/Type of Usq &2f Y ; <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑No How Determined i <br /> Impact Fee Amount $. Zone No. TAZ: <br /> } SCHOOLIMPACTFEE <br /> Account (OSe) Single-Family Detached House Amount $ 7j a's, <br /> (067) Mobile Home <br /> (065) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes 0 No How Determined <br /> PARKS AWRECREATION FEE i <br /> Land Account Land Credit Land Total <br /> 9 l <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit land Total j <br /> Facility.Axount Facility Credit Faculty Total <br /> Exempt ❑Yss ❑No How Determined Total Amount 1 <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By { Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL'INSPECTION <br /> PERFORMED UNTILTHE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND. <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknawtedgement below does not Imply acceptance or concurrence,but empty racelptsfa Copy of this form,placing <br /> the buildtnp permB owner on House of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />