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PASCO COUNTY, PLORMA <br /> Date Permitted —ZGi— <br /> [� Bulkier Name/Owner NNaams DP— tkl 0)n Control#' <br /> y, County Parcel No. ��33 <br /> Address/Location � 8 rom A r/Nje-e1 " <br /> ClassificallonlType of Us@ fr JL <br /> til <br /> TRANSPORTATION IMPACT FEE ate: Sq.Ft Unkt: 2(3 4 2- <br /> Exempt ❑Yes ❑No Hour Determined <br /> Impact Fee Amount $. 31 OD Zone No. TAZ: I <br /> SCHOOL IMPACT FEE { 2 <br /> Account (058) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> t: (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes n No How Determined dw <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit .Recrea' l4tion/Total <br /> 7 i <br /> Zone TOTAL AMOUNT $ l S�_ l <br /> Exempt ❑Yes ❑No How Determined ! <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Faciikty.Account Facility Credit Facility Total <br /> , <br /> Exempt ❑Yes ❑No How Determined Total Amount <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOQNTS LISTED HAVE <br /> BEEN PAiD AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply reoelpt of a copy of Nis form,placing <br /> the bWding parmit owner on notice of this assessment and Ina conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />