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i <br /> f i <br /> I <br /> I <br /> PAS 0 COUNTY, FLORIDA , <br /> Pergiit No.22Z 0 <br /> t Date Petmlited <br /> r Builder Name/Owner Name Control W _ <br /> t <br /> County Parcel No. 2 9 2l—610—"0D—fZ`Z��SubDIv: <br /> Address/Locatlon �l /�lGt <br /> r <br /> Classilicallonl ype of U89 <br /> TRANSPORTATION IMPACT EE Rate: Sq.Ft Unit Z <br /> Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount 3r 3 �� Zone No. TAZ: i <br /> i <br /> SCHOOL IMPACT.FEE <br /> Account (03% Single-F Ily Detached House Amount S <br /> (067) Mobite Home <br /> (066) Of 1"R Identlal <br /> 123) Collectio�r Fee <br /> Exempt [�Yea ❑No I How Determined <br /> ( PARKS AND RECREATION EE i <br /> ► Land Account land Credit land Total <br /> ! Recreatlon Account Recreation Credit .Recreaatiio/n Total j <br /> Zone TOTAL AMOUNT S '7-6L <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Facillty.Account Facility Credit FaclUtyTotal <br /> Exempt ❑Yes ❑No How Determined Total Amount <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE 0 OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORM UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> .BEEN PAID AND <br /> RECEIPTED FOR B A CENTRAL PERMITTING OFFICEOF PASCO COUNTY <br /> Acknowledgement below does no Impty eecepte a or conaurenw,but eimply recelpl ofe Copy Of Na form,placing <br /> the bWkft pemiUbw 'on notice of dda eeaeaelilent and the eondlUons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> F <br />