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F <br /> PASCO COUNTY, FLOWbA <br /> ;\ 'Porlyfit No. <br /> - DatePeonlited / <br /> f " Bulkier NemelOwner Name &4- Control#' _ <br /> County Parcel No. Zy pia?�(�/��-17 0XX'1 SubDiv: <br /> AddresslLocadon 7,5 l <br /> ClasslflcatlonlType of Usq i <br /> TRANSPORTATION IMPACT FEE - Rate: Sq.Ft UNt <br /> Exempt ❑Yee ❑No How Determined <br /> Impact Fee Amount S..3 r(P Zone No. TA?-: <br /> k FEE <br /> Accounts IN(Ot3Y S ftWFemUy Detached Hcuse Amount $ <br /> i (057) Mobile Home <br /> (055) Other ResIdential <br /> l 23) Collection Fee iY <br /> Exempt 6 Yes ❑No Now Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Lend Credit Land Total <br /> ! Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT s 7�7 <br /> • I <br /> Exempt Yes No 'Now Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> FacWty.Acodunt Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount _ i <br /> RESOURCE FEE - ERU <br /> TOTALAMOUNT <br /> Prepared By Avg, Checked By <br /> NO CERTIFICATE,OF OCCUPANCY WILL BE ISSUED OR.FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAW," <br /> BEEN PAID AND ' <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICEOF PASCO COUNTY <br /> Aakmwladyamenttwkw 4004 nottmply ae4eptence oreonaurran^buts n*16eolptata copy aloft ram,placlny <br /> '."''";iih®.bWldlllOpinNtaWMran11011C<i011hI0fie88801RBIdalldUl00011dIQaWolpGyll�nl�Or.Ynn16: . <br /> DATE RECEIVED BY _ <br /> RECEIPT NO. 'DATE BY _ <br />