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i <br /> PASCO COUNTY, FLORIDA <br /> 'Pli tNo. <br /> Date PelYktl"so <br /> E Builder NamalOwner Name ���1/1% G' Control W • r <br /> i -�,� <br /> (r County Pam I No.2W4,24.d 1/0 1O� � suDDty <br /> t Address/Locatlokt t � \" 1— — <br /> ClesslticalloMype of U89 <br /> r <br /> TRANSPORTATION IMPACT FEE • ate: Sq.F(Unit. 2 Z7 <br /> } Exempt ❑Yes ❑No How Determined i <br /> Impact Fee Amount S 3 2 zone No. TAM <br /> SCHOOLIMPACTIFER <br /> Account (050) slnple•F Ily Detached House Amount $-- <br /> (057) �NkibUe H::9 <br /> (056) Other Residential <br /> 123) Collection Fee, A• <br /> i Exempt [ Yes ❑No How Determined <br /> PARKS AND,RECREATION FEE 1 <br /> Land Account Land Credit Land Total <br /> Recreation Amount Recreation Credit .Recreation Total y <br /> zone TOTAL AMOUNT s <br /> Exempt 0 Yes ❑No How Determined I <br /> LIBRARYFER <br /> Land Account Lend Credit Land Total <br /> Facalty.Acaount Faci tyCredit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amolinv—_��—_ i <br /> REBOURCEME ERU <br /> TOTAL AMOUNT <br /> Prepared By r Chocked By <br /> NO CERTIFICAftOF.00CIlE!ANCY,WILL @RASUMOMFINAL INSPECTION <br /> PERFORWIED UNTILTHE TDTAL'AMOWftLI8TEO HAVE' <br /> BEEN PAID AND <br /> RECBIPTED FOR BY A CENTRAL.PERMt'iTtNG OPFICE:OF PASCO COUNTY <br /> ArarirowUdpomontbNowdoenOl acaptanaaleacupwLtmbwgm*ntOWat&capioftM►twm,ptoetnp <br /> tlfe bldd6p Pennitownawi nottaortldo ursu�m�etondtAaoon�6tioneo/PeymontiorNmi. <br /> DATE RECEIVED BY <br /> RECEIPT NO. •DATE BY <br /> M <br />