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I <br /> F , <br /> PAS CM COUNTY; FLORIDA <br /> y` ArOt No. <br /> Date PwnliteO <br /> i <br /> '• Builder Name/Owner Name Control(!' <br /> County Parcel No.67 — _d��/ 407�'/ SubDly: 2 i <br /> AddresslLocatlon cSOV <br /> ClassllkmllonlType of UsQ le 4fn <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unk: 777 <br /> Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount 32• Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (088) Single-F lly Detached House Amount $ Cgt Z�. <br /> i (057) Mobile Wine <br /> f (060) Other Re idential <br /> 23) Collectio i Feb <br /> j Exempt a Yes 0 NO How Determined <br /> i <br /> PARKS'AND RECREATION FEE i <br /> Land Account land Credit Land Total <br /> Recreation Account Recreation Credit -RecreatlorrTotal w <br /> Zone TOTAL AMOUNT $ <br /> • I <br /> Exempt ❑Yes 0 No How Determined <br /> LIBRARY FEE <br /> Land Account Lend Credit Land Total j <br /> Faclilty.Account Facility Credit Facility Total <br /> Exempt ❑Yes []No How Determined Total Amount _ I <br /> RESOURCE FEE , ERU <br /> TOTALAMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE F OCCUPANCY WILL 100ISSUED.OR FINAL INSPECTION <br /> PERFO ED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR Y A CENTRAL PERMrMN0 OFFICROF PASCO COUNTY <br /> Aoknowl®apemont l>alpwdoes t MPty aueptenco of concurrence;Out elmpry.rarelptoFo eop9 d we Win,placing <br /> the NUN Dom ov tar on ncBe®of ft esaeeeihant end Uu oondlUons of payment for.tame. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> N <br />