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� i I <br /> s . <br /> E ; <br /> PASCO COUNTY, FLORIDA <br /> +� Date PeOntttap z <br /> Bulkier Name/Owner Name K �1iQ Control#' <br /> - County Patcet No. c3S Z�� �SubDty: <br /> � s <br /> Address/Location 6C��Q aaaGGGr„p rvii2 <br /> ClassiticailoMType of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit 2,777 <br /> Exempt []Yes ❑No How Oetermined <br /> f impact Fee Amount S.'3j `�Z' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0501 Sftle•FamAy Detached House Amount $ 1 � 2-8 <br /> i (067) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes Q No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Cradil Land Total 1 <br /> s Recreation Account Recreation Credit Recreation Total 1 <br /> Zone TOTAL AMOUNT $ 2 <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Faclilty.Acccunt Facility Credit Facility Total <br /> Exempt ❑Yes ❑No Haw Determined Total Amounv::�: _ i <br /> RESOURCE'FEE , ERU <br /> TOTAL AMOUNT <br /> Prepared By _Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICEOF PASCO COUNTY <br /> Acknowledgement below doaa not imply scooptacoo of concurrence;but Wmply recolptofe copy of we tam,placing <br /> the bWkft parmitowdetan not a of lhle assessment and the conditim of payment far same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> 1 ' <br /> j <br />