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PASCO COUNTY, FLORIDA <br /> P�II NO. <br /> ZZ7 S <br /> Dete Pw1lited <br /> I ; sunder Neme/Owner Name E—I`A r Control W <br /> t <br /> County Parcel No. Z Z6-2-1- 6 <br /> t.1/ILl3-c oo^I5-%SubDiv: <br /> Address/Location A3 <br /> ClasslticationRype of Uso &L Iler I <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft UNt: 2r i <br /> P � , <br /> Exempt []'Yes ❑No /How Determined <br /> Impact Fee Amount S 31 zone No. TAZ: <br /> SCHOOLIMPACTFEE <br /> ( Account (058) Single-Family Detached House Amount $ l <br /> f (057) Mobile Home <br /> f (055) Other Residential <br /> 1,23) Collection Fee A, <br /> Exempt I.J Yes ❑No Now Detemdned <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Lend Total <br /> Recreation Account Recreation Credit 'Recreation/Toottal <br /> Zone TOTAL AMOUNT <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Lend Account Land Credit Lend Total j <br /> Faclitty.Aco6unt Facility Credit Facility 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 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 OFFICE OF PASCO COUNTY <br /> ACMQWtedpement below Qoee not Imply geoeptence of oonoarreeoo,bel eltnpty roeelpt Ofa ocpy of NO form,piaotno <br /> the ttuVdlnp panllt ovmeron noUM of tide assesamem and ma conditions or payment for m me. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />