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j <br /> ' .PASCO COUNTY, FLORMA <br /> .. ' P�rtnit No. •Z� _ _ <br /> \ Date Pennitted <br /> Builder Nemt310wner Narm�eL.7C e4Mr ;/ Control <br /> I County Paroel No. 106 <br /> uP 7 SubDiv: <br /> Address/Location <br /> Classlflcationliype of Usq <br /> rr TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt Q Yes [I No How Determined <br /> i ; <br /> t ` Impact Fee Amount s 3, 3 a•.QO zone No. TAZ- <br /> { 1 <br /> SCHOOL IMPACT FEE �i (�I I 2-9 <br /> i Account (069) Single-Family Detached House Amount $ TS. <br /> i jo) Mobtle Home <br /> I (055) Other Residential <br /> 123) Collection Fee ; <br /> I It Exempt Yes ❑No How Determined <br /> i PARKS AND RECREATION FEE <br /> i <br /> Land Aodount Land Credit Land Total II <br /> + Recreation Account Recreation Credit •Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> • I <br /> Exempt C)Yes ❑No How Determined <br /> LIBRARY-FEE <br /> Land Account Land Credit Land Total i <br /> Facillty.Account Facility Credit Facility Total <br /> Exempt ❑Yes []No How Determined Total Amount _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Cheolted By <br /> NO CERTIFICATE OF OCCUPANCY WILL RE ISSUED OR FINALINSPECTION <br /> PERFORMED UNTIL THE TOTAL'AMOUNTS LISTED HAVE <br /> .BEEN PAID AND ' <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICROF PASCO COUNTY <br /> Acknowtedsomentbalow dose not Imply sceaptenee of concurrence,but almpy recetplola gopy o(tlde(onn,plaetny <br /> the Cuudtna pamUt owner on notic®of tidy aeaeaamant and Me condom of payment Ior aeme. <br /> DATE 'RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> . h <br />