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. I � <br /> f <br /> PASCO COUNTY, FLORIDA <br /> 'AnNt No. 2- <br /> Date Paunitted <br /> Bulkier NamelOwner Name "�a�zz ^Vol# . • <br /> t County Pafcel No, <br /> AddresslLocatlon d Z <br /> ClassiflcadoNType of Us@ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: --_ <br /> Exempt ❑Yes ❑No /How Determined <br /> Impact Fee Amount $ 31�"3Z` Zone No. TAZ: j <br /> I <br /> SCHOOL IMPACT FEE <br /> Amount $ <br /> Account (056) Stngle•Family Detached House <br /> (057) Mobile Home <br /> (0511) Other Residential <br /> 123) Collection Fee <br /> Exempt a Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account _Land Credit Land Total <br /> ' Recreation Account Recreation Credit •ReaeaUon Total <br /> Zone TOTAL AMOUNT $ <br /> . I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE i <br /> Land Account Land Credit land Total <br /> Facllity.Acccunt Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount _ <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED 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 doaa not imply acceptance of eoncunence,but Simply receipt of®Copy of this form,placing <br /> the NUN pe^nit owner on notice of this assessment end the condidons of psymant for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />