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r <br /> PASEOZOUNTY, MOO-16A <br /> tit Na. 2 2 <br /> Date Pam'►ittad - f <br /> t ' <br /> Bu C er Name/Owner Nam <br /> t <br /> County Parcel No.02, Z/ 90,d f�0 subtb. � <br /> Address/Location 3 3 A e— <br /> t <br /> ClaesiticattonRype of Usy t° l i <br /> TRANSPORTATION IMPACT PEE Rate: 3q.FI untC i <br /> Exempt Q Yes ❑No How Determined f <br /> i impact Fea Amount Zone No. TAZ: j <br /> SCHOOL wrACTM. <br /> Account `(086) Single-Family Detached House Amount $ < __ <br /> (057) MobUa Home <br /> (050) Other Residential <br /> I 128) Collection Fee �. <br /> Exempt [�Yes ❑No How Determined <br /> PARKS AN .:RECREATION 0 ! <br /> tand'Account Land Credit Land Total <br /> i ! Recreation Account Recreation Credit _'Recreation Tote) <br /> Zone TOTALAMOUNT S 7/0 j� w <br /> Exempt C4 Yes ❑No How Determined <br /> BRARY.FEE <br /> Land Account Land Credit Land Total t <br /> Facgity.Account Facility Credit FadltyToo <br /> Exempt 0 Yes 0 No How Determined TotaFAtnaunirZ2� t <br /> REBO RCE'FEE , ERU <br /> TOTALAMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE.OF OCCUPANCY;WILLS1 r,14SOELI O-FINA4:.INSPECTYON <br /> PERFCRNIED;UNTIL:=THE.TO�At`' -; EIP}TCLISTEDHAVE' <br /> BEEN'PAID Or., <br /> RECEIPTED FOR BY ACENT &PERIYIITi O OFFICE,OP PASCO COUNTY <br /> A o�riRntlmsftwdosedotYnp4rausyfensctwrkurt�iw.butlgmytyneootytetaaopyiofQftfam;puulnA <br /> the bulld(np pomS owi»r en Hotta orduo w�ununt end the oondiUono of piyroaittti tune: <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />