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' PASC COUNTY, FLORI®A <br /> \ �\ 04RnitNo. - Z22-3� <br /> i Data PeOnitted <br /> ( Builder Name(Owner Name /4:71� Control <br /> �(t�t <br /> County Pa(ceC Na.2 Z-(d— �bllD-60000.�►2- <br /> `7�70 SubDty: <br /> Address/Location 2Z <br /> ClassillcationRype of Uaq ; <br /> 65 <br /> TRANSPORTATION IMPACT F E - Rate: Sq.Ft Unit: . �' <br /> Exempt ❑Yes ❑No How Determined <br /> i Impact Fee Amount 6 3�' ' Zone No. TAZ: <br /> , <br /> SCHOOLIMPACTFEE i <br /> Account (056) Singla•Fe Ily Detached House Amount <br /> (057) Mobile Ho d <br /> (055) Other Rest ential <br /> 123) Collection as <br /> Exempt Yes ❑No How.Determined <br /> ' PARKS AND RECREATION EE i <br /> r <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ 76 j,5 <br /> Exempt ❑Yea ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Faclllty.Acoount Facility Credit Facility Total <br /> Exempt ❑Yes ❑No Haw 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 /> PERFO ED.IINT&THE:TOTAL AMQ4NTs LISTED HAVE <br /> BEEN PAID AND <br /> RECE{PTED FOR A CENTRAL PERMITTING OFFICSOF PASCO COUNTY <br /> AoknowtsdgcnWt below does n�t imply aeeeptaram of concurrehae,but amvly f®ceIpt oto oapy or ft form,placing <br /> the bwmq pomti haw an notice of"assement and the condition of payment for acme. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />