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RASCO COUNTY, FLORIDA <br /> t _ _ Permit No. .p Z- <br /> Date Permitted fib- _zp <br /> Builder Name/Owner Nam@ 1; l -- Control#' <br /> County Parcel No. b 7 .Z/6(cab b!00G.bL 3a. SubDiv: �� W4Wd <br /> 4-1 <br /> Address/Locatlon �6 2 9 (?Pbb .-8L5 S '� <br /> rr <br /> Classiflcadonfrype of UsQ <br /> TRANSPORTATION IMPACT FEE Rate: Sq•Ft unit, 3, 1/ 3 <br /> Exempt ❑Ves (] No How Determined <br /> Impact Fee Amount 3Z Zone No. TAZ, <br /> SCHOOL IMPACT FEE <br /> Account (058)" Single-Family petached House Amount $ <br /> (957) Mcblte Home <br /> i (050) Other,Residential <br /> 24). Collection Fee <br /> Exempt []Yes..Q No How Determined <br /> PARK87AND:RECREATIOWFEE- <br /> Land Account Land Credit_ Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ '.76.?,T;6. <br /> Exempt ❑Yes ❑'No How Deterttned <br /> LIBRARY FEE <br /> ` Land Account Land-Credit Land Tbtai <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes -No How Determined Total Amount �J _ <br /> RESOURCESFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE-OF_OCCUPANCY.WILL.BE ISSUED OR FINAL INSPECTION' <br /> PERFt?RMED:uNTIL'THE.TOTAL AMOt;INTS LtBTED HAVE <br /> 13ElwN IAID.AND..: <br /> RECEIPTED FOR BY A CENTRAL PERMIT1'iN0 O1rFICE•OF PASCO COUNTY <br /> Acknowledgement below,doee not Imply acceptance of concunrence;,but.stmply.recetpx of a copy of this torm;,placUig <br /> the 6utldlitg permlt'awner at assessment slid the odnditt hs of payment for.same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />