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w <br /> - - S PASCO COUNTY, FLORIDA` <br /> _ Permit No. Z . <br /> Date Permitted 2.� - <br /> j ^Builder Name/Owner Name Control#' " <br /> 1_. `! ' <br /> County Parcel No. . 2 2! Cyp b 3av 417� SubDly: <br /> Address/Location <br /> Classificatlon/Type of UsQ er <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: d <br /> Exempt ❑Yas 0 No How Determined <br /> impact Fee Amount $, ,b 2 V v Zone No. TAZ. <br /> -SCHOOL IMPACT FEE' <br /> = Account (060) Single-Family patached House Amount $ v �11l, - <br /> (057) Moblle`;Elome <br /> W13) Other-R"Idential <br /> 123) Collection Fee <br /> Exempt Ye's. Q No How Determined <br /> PARKWANDAECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation,Credit Recreatton Total <br /> Zone TOTAL AMOUNT s°,.7 6." <br /> Exempt Yes C]No How DetermineA <br /> LiBRARW FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total , <br /> Exempt ❑Yes [J'No How Determined Total.Amouk <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ` Checked By <br /> NO CERTIFT NY: <br /> PERA=O PAWL:BE UEQ ORFINAIINSPECTION <br /> FTED[fM THE<TOTA- AMOt�NTS.I:ISFED FFAVE <br /> BEEN <br /> ER RAID,AND <br /> . <br /> RECEIPTED FOR BY A CENTRAL PMf NO.OFFICE,OF PASCO COUNTY <br /> AcM(o)Medgemant below daee'not Imply acceptaru;e of concuaence,but simply.:racelpt oFa Dopy,of.tide farm,placing <br /> the bui#dii p�rrirtt oxiiiaFon'riotice of tfite'assessinsnt aril t cohiitfroiis cf psyiitenttor senile. <br /> DATE i RECEIVED BY <br /> i <br /> RECEIPT NO. DATE BY <br />