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I ' <br /> I <br /> ' PASCO COUNTY, FLORIDA <br /> Fbrt_nit No. Z!9 e17 <br /> Date PWT11084 <br /> 1 <br /> Bulkier NamelOwner Name �7)/ rN��Zl� Control#• <br /> County Parcel No. �rLb-LI-b lop.-GID7ib-b Suboiv: <br /> Addrese/locaaon 71 r <br /> Classiflcationrtype of Usq 5 f o <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit /T3 i <br /> Exempt ❑Yes ❑No How Determined ' <br /> 1 ' <br /> Impact Fee Amount S 3/ Zone No. TAM <br /> SCHOOL IMPACTFEE <br /> Account (06% Stngle-Famlly Detached House Amount ��J` <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt b Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Lend Total <br /> r Recreation Account -Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total i <br /> Faclllty.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount I <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Chocked 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 ACENTRAL PERMITTING OFFICBOF PASCO COUNTY <br /> Admowlodpcment botow does not ImpN acoopwnce of concurrence,but shpb receipt eta copy of tide form,plaelnp <br /> the bWWlmp permit owner on notice of dde assessment and tha conditions of payment for game. <br /> DATE RECEIVED BY <br /> RECEIPT NO, DATE BY <br /> N <br />