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r( 1 <br /> PASCO-COUNTY, FLORIDA <br /> i ; Fnit Na. <br /> Z33 • <br /> � Oate Permitted <br /> Sutitter Name/Owner Name /J Q.r -� 69 Control#' ' ~ <br /> County parcel No. 2-4 i6 L•1 1 0 022 76001V: Fig <br /> { AddresslLocatton (/L'�T <br /> CtaestttcationiType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> f Exempt Q Yea ❑No How Determined 1 <br /> i Impact Fae Amount ,� � Zone No: TAZ: <br /> SCHOOL IMPACT,F,E <br /> Account (Otte)' Single-Family Detached House Amount S r <br /> (057) Mobile Home .. <br /> (Oks) Othar Residential <br /> Exempt domes QQN bnFHcwDatarmined <br /> PARK8 AND.RECREATION FEE, <br /> i <br /> land'Account. Land Credit Land Total <br /> Recreation Account Recreation Credit ;Recma1or1Totai . <br /> Zone TOTAL AMOUNT $ <br /> Exempt 0 Yee Q No Now Detwmtned <br /> LIBRARY EE <br /> Land Account Lend Credit Land Total <br /> Fadiity.Acccunt Facility OWN FaMVTM <br /> Exempt ❑Yea ❑Na How Determined Total m"nf :'' i <br /> RESQ RCE^FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By a &CL== Chedwd By <br /> NO CERTlFIGATE OF;OCCUIaANGY-Wt41:@E��$BkJEE1ORPIMA4:;.tNSRECTIQN <br /> AERFORAAEO',11N!ILTitEYG7Af:: NMI:1t31EDHAVE" <br /> 'A3IWN PAWAXD: <br /> RECEIPTEO FOR BY A CENTRAL PE111MI f INQ:OFftCBOF AASGO COUNTY <br /> A Yom�+itbpovrdobrnot eea/pJ atconwrrergFr,•butekn➢N� Pt;*fa <br /> CC*ofaddfam;plgeNie <br /> dio Cu➢d6m pafrNtowiurOnimtkr of th4 a�faurioM oiWpal""atindttlpnsorppymentfei tine. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />