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PASCO COUNTY$ FLOWDA <br /> P Wt No. <br /> i1 Date Pelmltwo 1-7-4.—,W-0 <br /> Builder Name/Owner Name ma '&46 Control ii' <br /> .c <br /> County pat_cat No. SubDly. <br /> Address/Location <br /> Ciasslt}catioM yrpe of Us$ l �Lr <br /> TRANSPORTATION IMPAC7 FEE Rate: Sq.FI UNC -� 2 <br /> Exempt ❑Yes ❑No How Determined <br /> i <br /> impact Fee Amount Zone No. TAZ <br /> I <br /> SCHOOL IMPACT FEE ' <br /> Account (050Y ShVie-Family Detached House Amount <br /> �• (OsT) MoNeHe= <br /> 123' Residential <br /> ) Cailsollon Fee <br /> Exempt d Yes [2 No Now Determined <br /> + PARKS AND RECREATION FEE i <br /> Land Account __ Land Credit Lend Total <br /> ' Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Lend Credit Land Total j <br /> Facllity.Pxxdunt Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount t!!)= I <br /> RE80URCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL 511101,11M OR FINAL INSPECTION <br /> PERFORMED UNTILTHETOTAL AMOUNTS LISTED HAVE <br /> BEEN PAIMAND ' <br /> RECEIPTEO FOR BY A CENTRAL PERivirmiO OFFICE-OF PASCO COUNTY <br /> A4-W1eCgem®MbaWar Coen nottmpty eooeptenee of COMM ONO,butdmpty raoelp 01's eepir of Oft form,0124140 <br /> the t�ulldinp praadt owner on notZos ci ttda aeaesNment asW Na�ndlttone of payment iar isms. <br /> DATE RECEIVED SY <br /> RECEIPT NO. DATE BY <br />