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i <br /> PASCO COUNTY, FLORIDA <br /> r. Permit No. <br /> Date Perin ad' I Q— <br /> +Builder Name/Owner Name�U ��'_L�'' Control#' " <br /> County Parcel No. _S5 2�5 2-! O l _D b JSW OID SubDly: 2. --��tg a <br /> Address/Location . .J"'�- &vd r p <br /> ClassiticationtType of Usi) c5 t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:,3 <br /> Exempt n lfes Q No How Determined 6 <br /> Impact Fee Amount $.31 �✓� y Zone No. TAZ: <br /> SCHOOL1MPACT FEE <br /> Account (056). Single-Fancily Detached House Amount $ : �4. <br /> (057) Mobile:Home <br /> 4 (058) Oth6r."Residential <br /> 123) Collection Fee <br /> Exempt [ Yes No How Determined <br /> PARKSAND'RECREATION FEE, <br /> Land Account Land Credit Land'Total <br /> Recreation Account Recreation Credit Recreations/TT�otal <br /> Zone TOTAL AMOUNT s. <br /> Exempt ❑Yes ❑No How Determined` <br /> LIBRARY-FEE <br /> Ladd Account Land0edit Land Total <br /> Facility Account Facility Credit Facillty.T,otal <br /> Exempt ❑Yes ❑ No How Determined Total-Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By. <br /> NO CERTIFICATE OF,OCCUPANCY WILL•BE ISSUED-;OR-FINAL INSPECTION <br /> PERFORMED UNTIL THE:TOT L Ai1fIOI N73 LISTED FIAi%E <br /> BEEN PAID:AND' . <br /> RECEIPTED.FOR BY A CENTRAL PERMITTING OFFIQE.OF PASCO'COUNTY ; <br /> AftowledSement below does not tmply acceptance Of,canarrrence,.but stmplymoolpi of•a copy of ihis.form;piecing <br /> the deriding peWt owner on nolice of thle ass6semenf and IN coridlttons of payment for same. <br /> DATE RECEIVED BY' <br /> RECEIPT NO. DATE BY <br />