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PASCO COUNTY, FLORIDA <br /> _ . Permit No. 1c� <br /> Date Permitted <br /> 'Builder Name/Owner.Name t ) Control W <br /> ' r <br /> County Parcel No. Z ; 2f t)()tA��AU D SubDly: �,� <br /> Address/Location 70 cyl�2.r- blal C Al- <br /> ClassMcationR'ype of Usq ,�i Y e <br /> TRANSPORTATION IMPACT FEE Rate: S4.Ft Unit: <br /> Exempt D Yes (Q No How Determined <br /> Impact Fee Amount , Zone No. TAZ: <br /> SCHOOL'IMPACT:FEE <br /> Account (056) :Slag;, FamilyDetached•Hcuse Amount $ <br /> {857) _Mobllw Hb ne <br /> (054) .Othar Residential <br /> F 6g3) <br /> Collelon`Fee <br /> Exempt Yes. (Q No How Determined <br /> PARKS:ANitRECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone ! TOTAL AMOUNT 2 <br /> 'Exempt . ❑Yes []No How Determined <br /> LIBRARY FEE <br /> Land`Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt 0 Yes 0 No How Determined Total Amount <br /> RESOURCE t»EE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CER71FICgTE OF OCCUOANCYWILL:BE!ISSUEO.,OR-FINAL:INSOtCTION <br /> P15001 IED UI L-,*H ;'COT 4t:Jlti190Uid-'11$TED HAVE: <br /> BI,EN•,PAID•AND" <br /> RECEWTED-FOkSY A'CENTRAL PERMI'wTINO'OFFlCE:OF PASCO`COUNTY <br /> Acki(owledgement t�eiow,doas•not ln!pN acceptance,of.concurrence;Ut simpty;re iptot a,Dopy of'fhis;form;piecing <br /> ' Ilse tudtding F OYVt18S OA ttaBtSB of tl�s ses siiient acid tti 'condlttons of payment for sari b. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />