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PASCO COUNTY, FLORIDA-1 <br /> Permit Mg. <br /> Date Permuted.. .7-Z'o <br /> Builder Name/Owner Name 1) L-4b-r �u — Control#' <br /> r <br /> County Parcel No. d c '2-(, 2'/ 0 07o..!fib 10 U 0 D 30- SubDIv: S try f 2'c <br /> Address/Location . •�.3q z) <br /> ClassiticationlType'of Usa <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft•Unit: 2-3,622. . <br /> Exempt ❑Yes (] No How Determined <br /> Impact Fee Amount. �. 3t �3 2- Zcne'No. TAM: <br /> t <br /> $CH WIMPACTFEE; <br /> Account (656). 'Single-Famlly.Detached house Amount $ <br /> (057) Matitte Nome <br /> ! .(05t3) :OtheNeslderitial <br /> 123) CollaWor Fee <br /> Exempt [ Yes• D No How Determined <br /> PARKS-,MwRECREATION-FEE• <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total° <br /> Zone ---� TOTAL:AMOUNT "79`�. <br /> Exempt ❑Yes [ No How Determined <br /> LIBRARY—FEE <br /> ` Land Accounf Land-Crodlt Land Total <br /> Facility Account Facility Credit Faculty Total <br /> Exempt ❑Yes [].No How D®termined Total--Amoft�: . <br /> RESOURCE FEE ERLI <br /> TOTAL AMOUNT <br /> Prepared By Checked-By <br /> • NO CERT#�tCATE_,QF.;t1CCUPANCY.;'yltii.t.BEDISSUEi;f` `tNSP.1sCT10N <br /> PERFOIWF.D E31+t hL:THE,TOTAL°AMOII14,s ORFINAtLISTED 14AVE <br /> - BE—PAID:ANI�. ...., <br /> RECWPTED FOR-BY A CENTRAL 091Wf1+1"IN&OFFICE•OF PAS.CO COUNTY <br /> Ackr(ox�tedpemanti�eipiw,doesnot itnply.acxeptance_oE,wnauttani��;but slmptyrecelpt ot,a oopjr of,U�ls form;p►acing •'= <br /> .' file biultdinp peniilt.o�vite�oq`rmtice'of t�)e assessme�rt aid th9 cpi�tliitor�s ofi paytiieryt�tcr satire. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />