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s <br /> 'PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> ~Sunder Name/Owner Name �Gf./ g Control#' " <br /> County Parcel No. L 2 t11_ :80 SubDly. <br /> Address/Locallon ,S 1— <br /> Classiflcatlonrrype of Us@ <br /> y r TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 9L <br /> Exempt [Q Yes Q No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT:FEE. <br /> Account (056) Slagle-FamilyDatached'House Amount $. BT t <br /> (057) Mobl!e Home <br /> {058} -Other Residential <br /> 123} Colleotlon Fee <br /> Exempt [ Yes []:No How Determined <br /> L PARK&AND;RECREATtON'FEE <br /> t. Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit. Recreation Total: <br /> Zone TOTAL-AMOUNT $ <br /> Exempt ❑Yes 0 No How Determined <br /> LIBRARY FEE <br /> Land Account. Land Credit Land Total, <br /> Facility Account Facility Credit Facility Total.. <br /> Exempt ❑Yes E) No How Determined Total Amount.V <br /> RESOURCE FEE 'ERU` <br /> TOTAL AMOUNT <br /> Prepared By Checked-By <br /> NO CERTIFICATE;.QF OCCUPANC •:'V:UII L.BE iSSUED.`OR:,FINAL:INSPECTIQN <br /> PERFQRMED'UNTIL THl"'COTAL AiVIOItN'I S LItaTED'C4kvi <br /> RECEiPTED.FOR BY A-CENTRA'LEE PERMITTIN©OFFICE.OF PASCO COUNTY <br /> Acknowledgement beibw dose nokUnpty acceptanceot concuaence;but slmpiy_re'geipt:of a copy,dithis form,placing . - <br /> the bWldlhg pert 6%ownerbn notice of this a'sses'sment and did 66W(tlons'.of.payment.for same:` . <br /> RATE 'RECEIVED.B. <br /> RECEIPT NO. DATE BY <br />