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RASCO'COUNTY, FLORIDA <br /> Pkot No. <br /> Date Pal <br /> } Builder Name/Owner Name Control#' <br /> i <br /> (; County Parcel No. �v' /7 suWN. 9 6�_ ` <br /> ( AddresetLocatlon <br /> ClessitieaUonfrype of Ue9 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: r :37 <br /> Exempt Dyes ❑No How Determined i <br /> i Impact Fee Amount &(5 2•� Zone No. TAZ: � <br /> SCHOOL° 81f<lIMPACTFEE. - tc/ y <br /> Adi unt (0�8) $in9ta-Femily,Detached House Amount $ <br /> (0117) MohUs home <br /> ( (053) Other.Resldentlat <br /> 123) Collection Fee <br /> Exempt [�Yea 0 No How Determined � <br /> PARKSAAND RECREATION FEE' I <br /> } <br /> Land Acc_cunt, _ Lend Credit Land Total <br /> f Recreation Account Recreation Credit - •Recreation Tots) <br /> Zone TOTAL AMOUNT <br /> Exempt ❑Yes ❑No Now Determined ? <br /> LtHRARY FEE <br /> Land Aacoumt Land Credit Land Total <br /> FacililyAcoount Facility Credit Fadlity Total <br /> Exempt D Yes ❑No Now,Determined Total Amoli*-� i <br /> RESOURCEFEE -ERU <br /> TOTAtiAMOUNT <br /> prepared By Checked By <br /> NO-CERn#ICATE.OF:OCGUF!ANCY:WILL':6��1,9SUEQ*'Oit<FtNl46IN81�E_C7tON <br /> PERFORMED UIW'nLTiiETOfAt::A4FCtIN�'l it3FE0'NAVE <br /> RE6WM0 FOR BYACEt4TRA1:PERMM'l bFFICBOF PASCO COUNTY <br /> �1o�As±naitbNpwdooanotYnp$+araigtenaoteonauums��muielmgty,�oet�o6:aeop$�ttdttoim,"pipstre <br /> t6loeidld<nppaeaaavt'iuimnotleiotu,4uew,nifnt�ltneeenaucneo►tfqi�nitcrpm..; � <br /> DATE RECENE i# <br /> RECEIPT NO. DATE BY <br /> t <br /> x <br /> M <br />