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� I <br /> s , <br /> PASCO COUNTY, FLORIDA <br /> AT(Nt No,2Z 33 <br /> .�• . . '•�� Date Permltled —2 — <br /> i Builder NamWOwner Name �2��+ { e' Control W. <br /> ! O 70SubDiv: <br /> County Parcel No. Z'P— ��` I-!�l/��,-d �D- <br /> Address/Location 3 �� 1� (.t ►rt i U <br /> CloulBcauoMype of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.FI Unit 21 Z7 6 <br /> �. Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount S 31 6 3 Zone No. TA7 j <br /> I <br /> j 1 <br /> SCHOOLIMPACTFEE <br /> Account (085) ShVIe•Famlly Detached House Amount $ <br /> (Off) Mobile Home <br /> (ose) Other Residential <br /> 123) Collection Fee r <br /> Exempt Yes ❑No How Determined <br /> PARRS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> 7 Recreation Account Recreation Credit .Recreation Total <br /> Zone TOTAL AMOUNT s 69`56 <br /> • j <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARYFEE <br /> Lend Account Land Credit Land Total i <br /> Facility.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount i <br /> RESOURCEFEE <br /> TOTALAMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE_IS.SUED ORFINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOQNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICEOF PASCO COUNTY <br /> Asknowlodpomantludowdoss nottmplysacoptanco of cmwrenco,buteimpiy mwptofacopy of ado form,plaoing <br /> tha buudU�p pnrnit ownor on noticra of ad.sesesomenl and aw condluona of payment for same. <br /> DATE RECEIVED_BY <br /> RECEIPT NO. DATE BY <br />