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• , PASCO COUNTY, FLORIDA <br /> t` >� <br /> Permit No. i v <br /> Date Permitted 777`?o-7 2.a <br /> Builder Name/Owner Name D Control#' " <br /> County Parcel No. G 7' z/O 2-/ 4 i s 17 0/QQ D�ozoSubDly. <br /> Address/Locatlon 6� A2 C�3 b e ,,,6" s �5-�- <br /> Classification/Type of Usq S" <br /> TRANSPORTATION IMPACT FEY Rate: Sq.Ft Unit [r _ <br /> Exempt ❑Yes No How Determined <br /> impact Fee Amount .$..31 3?t , Zone No. TAM <br /> SCHOOL IMPACT.FEE <br /> i Account (058). Single-Family Detached House Amount <br /> (057) Mobile Home <br /> (056) .Other...Residential <br /> 123). Collection Fee <br /> ` Exempt [ Yes. 0 No How Determined <br /> PARKWAND:RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone __ Qs TOTAL AMOUNT $ <br /> Exempt Yes No How Determined a <br /> LIBRAR.FEE <br /> Land'Account Land-Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt 0 Yes [) No How Determined Total Amount, _ <br /> RESOURCE FEE. ERU <br /> TOTALAMOUNT <br /> Prepared By Z? Checked By <br /> v <br /> -NO CERTIFICATE <br /> :OF OCCU10ANCY WILL.BE.ISSUEP.OKFINAL,INSPECTION <br /> PERFElRMED'U <br /> NTIL:THE,TQTl4L AMC1tJN'i'S:L.tSTED t+AVE <br /> BEEN.PAID,AND. <br /> RECEIPTED FOR BY A CENTRAL:PERM TING,OFFICEOF PASCO COUNTY <br /> AcicitawiedogMimi below does not impiy.acceptana*of conourrence,but aimpiy recelpt ota epW gf.ihle:form,_placlno <br /> the bulldW pemilt'owner.on notice of th.10 assessment and tho conditions of payment for`same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />