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DASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> ~Builder Name/Owner Name cD. Control#' , <br /> ! County Parcel No. _�jZ-ZS-Z�nI QQ-D l7c)D-�90 SubDiv: (y,.I UtAj> <br /> Address/Location 2D2, . Boser &rid Uc . <br /> Classificatlon/Type of UsQ <br /> i TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $, 31 3:Z �. zone No. TAZ: <br /> s SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ r <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 123) Collection Fee. <br /> Exempt Yes Q No How Determined <br /> PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $�/ ,5� <br /> Exempt ❑ Yes ❑ No How Determined <br /> xa LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked_By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE.ISSUED OR FINAL.INSPECTION <br /> 1. PERFORMED UNTIL THE TOTAL/kMOUNTS'LISTED HAVE <br /> BEEN PAID AND <br /> f RECEIPTED FOR BY A CENTRAL PERMITTING-OFFICE.OF PASCO COUNTY <br /> f <br /> ;• Acknowledgement below does not lmply.'acceptance of concurrence,butsimply receipt of•a copy of this font,placing <br /> the Wilding permit owner on notice of this assessment and the condlUons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />