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i <br /> i <br /> PAS CO COUNTY, FLORIDA <br /> a No. <br /> Date <br /> `• ' `\ Data Petmitted <br /> C i Control ft'Builder Name/Owner <br /> County Parcel No. DI`10-0060fa,0 SUbDIV: <br /> AddresaliAmtlon /p et d A In�"- <br /> ClassificatlonlType of Usq <br /> TRANSPORTATION IMPAGA FEE Rate: Sq.Ft Unit _ { <br /> Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount 3 3 Zone No. TAM <br /> 36H00LIMPACT FEE Jl Z(5 <br /> Account (0fi8) Single•F milt'Detached House Amount S A <br /> f. (057) Mobile H fte, <br /> (055) Other Rc sidential <br /> 123) Collectio i Fee <br /> Exempt Yes ❑No How Determined <br /> , <br /> ('• PARKS AND RECREATION FEE. <br /> Land Account Land Credit Land Total <br /> J Recreation Account Recreation Credit .Recreation Total <br /> Zone TOTALAMOUNT S <br /> • I <br /> Exempt ❑Yes ❑No Now Determined <br /> LIBRARY FEE <br /> Land Account Lend Credit Land Total j <br /> FacAty.Account Facility Credit FacUtyTotal <br /> Exempt []Yes [:]Nd How Determined Total Amount 1241-1 i <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE_ F.000UPANCY WILL BE1SSUEMOR FINAL INSPECTION <br /> PERM AFD UNTILTHE TOTAL AMOgNTS LISTED.HAVE- <br /> BEEN PAID:AND. <br /> RECEIPTED FOR Y A CENTRAL PERMITTING OFFICSOF PASCO COUNTY <br /> Aokrtow4aDo!nent beWw doa Imply eeeaptenw of eoncurrawo,fiat eMDN receipt ota copt fory or d"form,plazlnp <br /> lho bul{dlnp parts o ner on mtlq of thU esaaeunenfond tna eondlllono of poymen pme. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />