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w <br /> ,,PASCO COUNTY, DLO . <br /> Permit No. ion � <br /> D Date Permitted " O <br /> Builder NarnoOwner Name Control#' <br /> County Parcel No. 55 2S24 D M 0(S3'0 ')I%SubDiv: <br /> Address/Locatlon <br /> Classifloatlon/Type of US" <br /> TRANSPORTATION'IMPACT-FEE . Rate: Sq.Ft Unft: �a � <br /> Exempt []Yes Q No How Determined <br /> Impnot Fee Amount c Zone No. TAZ: <br /> SCHOOLIMPACT:FEE:.-'' l <br /> Account (058)' SIn81p;-Eami1y petsched House Amount $ <br /> t (057) •Mobile.Home <br /> i (050 Other Resldentlal <br /> 123), Collection;Fee <br /> `- Exempt .. Yes. Q,No How Determined <br /> `PARKS' ' REG . ' TION FEE- <br /> Land Acxoiant Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone .. TOTAL-AMOUNT <br /> Exempt Q Yes Q No How Determined <br /> LIBRAW:FEE <br /> Land Account, Land-Credit Land Total <br /> Facility Account Facility Credit Facility Total —— <br /> Exempt (]Yes Q'No How Determined Total AmounO <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT � <br /> Op <br /> Prepared By Checked By <br /> NO CERTIFICATE.OF OCCUPANCY WILL BE ISSUED OR�FINAI:INSPECTION <br /> PER06WED`UNT_iL THE TOTAL AMODNTSiUSTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR'BY A CENTRAL_PERMITrINO OFFICE-OF PASCO COUNTY <br /> Ackifwsledgement below does not Imply acceptance of conounence,but simply receipt of•a copy of two form,placing <br /> the buAding permit owner.on notice of this assesernent end the canditions'of payment for eama: <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />