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S <br /> i <br /> 7 <br /> PASCO COUNTY, FLORIDA <br /> No. <br /> Date <br /> .l Date PeoNtted <br /> Builder Namd/Owner Name �- r tttJYrt t'$ Control N, <br /> I County Pa(c " Sd � ubDiv: 4 4 <br /> Addressilocation <br /> ClaselticationlYype of U80 <br /> I; TRANSPORTATION IMPACT FEE Rate: ScIft Unit- <br /> Exempt ❑Yes ❑No How Determined ' <br /> Impact Fee Amount $3 6m eD Zone No. TAM i <br /> ' SCHOOL IMPACT FEE �y II <br /> j Account '-(Way 3 ftle•Famliy Detached House Amount 3 lJ� // <br /> ( (067) Mobile Home <br /> I' (055) Other Res(dehual <br /> j 23) Collection Fee F <br /> f.I Exempt d Yes ❑No How Determined <br /> ;! PARKS ANDRECREATION FEE <br /> Land Account Land Credit lend Total <br /> e Recreation Account Recreation Credit •RecredonToW 1 <br /> Zone TOTAL AMOUNT S 70, <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Faclllty.Acodunt Facility Credit Faculty Total <br /> Exempt ❑Yes ❑No How Determined Total-Amount i <br /> RESOURCE'FEE , ERU <br /> TOTALAMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF.000UPANCY WILL BE ISSUED ORFINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOgNt8 LISTED HAVE <br /> .BEEN PAID AND ' <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> r <br /> Mknow4Cgpment Detow Qaa not MPry eueptence et eoncumnoo,tnd elmpy reaeiptofe copy of No farm,placing <br /> tirobuUdHp putNt owner on mtlee oithie esdeeunent end the e9nmlion®of payment for tame. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />