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f <br /> i <br /> , <br /> PASCO COUNTY, FLOMOA <br /> ATU'DateFewnittoo / <br /> bh <br /> Builder NamelOwner Name Control#' <br /> t County Pa(cel No. Z—2P Z�'D 'DC2 — SubDIv: <br /> Address/Location 7l/�-3 �S(d�� <br /> Classlficatlonfrype of Uso <br /> TRANSPORTATION IMPACT FEE Rate: Sq.F(Unit: <br /> Exempt ❑Yes ❑No How Determined <br /> i Impact Fee Amount Zone No. TAZ <br /> SCHOOL IMPACT FEE <br /> Account (088) SUfgle-Family Detached House Amount $ «/ <br /> (087) Mobile Home <br /> I (1 23) Other Collection Feeidenual <br /> I <br /> Exempt Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total it <br /> ! Recreation Account Recreation Credit .Recreation Total j <br /> Zone TOTAL AMOUNT $ 769 5X <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Lend Credit Land Total i <br /> Faclilty.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By E. Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEOOR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID,AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OPFICEOF PASCO COUNTY <br /> Aoknowledyoment below doe$not MPIY ecaeptanea of eonouRnct,but elmply.recalpt ofs copy of aft form,piecing <br /> the bulidlnp pefm{t owner on notice of ft assesement and tits condlilona of payment for game. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />