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i <br /> PASCO COUNT IDA <br /> Permit No. <br /> Date Permitted 7-2-7zezw, <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 35 2�2.1-0/ o-0C)9 -oo SubDiv: r� <br /> Address/Locatlon 7 ?Z - &d Y <br /> t ./ <br /> Classitication/Type of Usq 1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes Q No How Determined <br /> Impact Fee Amount $. r Zone No. TAZ: <br /> SCHOOL IMPACT FEE ' f <br /> Account (056) Single-Family Detached House Amount $ � �t <br /> (057) Mobile Nome <br /> (058) , Other Residential <br /> 123) Collection Fee <br /> Exempt []Yes . Q No How Determined <br /> PARKS AND RECREATION FEE-' <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7��• �,� <br /> Exempt Q Yes Q No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amount ez:6?_ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL.BE ISSUER OR FINAL INSPECTION <br /> PERFORMED,UhTILTH .*gTAL•ANIoU LISTED HAVE <br /> BEEN.PAID:AND <br /> RECLEIPTED FOR BY A CENTRAL PERMITTING OFFIOMOF PASCO COUNTY <br /> AcMWedgement below does.not imply acceptance of concurrence,but simply receipt of•a copy of this form,placing <br /> the building permit owner.on notice of this assessment and thi, conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />