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1 <br /> P ►SCO CO:UNTl ly, �L ORIDA <br /> € Permit No. ,-1 <br /> Date Permitted _f 2.2�- -40 <br /> 'Builder Neme/OwnerName T u- 1, Control W ' <br /> County Parcel No. Qy .yg 2 SubDiv: <br /> Address/Location :Z <br /> ChissificationlTypcDk— <br /> sof -aq <br /> s l <br /> TRANSPORTATION IMPACT°FEE , Rate: Sq.Ft unit: ?I <br /> Exempt E)Yes E].No How Determined <br /> 'impact Fee Amount, S. Zone No. TAM <br /> SCfi00L IMPACT FEE:.._ <br /> Acxount (Otil3)' Single=Famtty petachad House Amount $ <br /> t {t'3s7), :Ntobtte',Home • <br /> I (058)` `OftfRealdentlal <br /> 123) C611e666n Fee <br /> Exempt [ Yes• Q'No Haw Determined <br /> PARKS'ANDIRECREAR'ION'FEE" <br /> Land- <br /> and Aixz�unt` Land Credit , LandTotal <br /> Recreation Acoount Recreation Credit Recreation Tottaal . <br /> Zone TOTAL�AMOUNT <br /> .'Exempt Q Yes ❑l`10 How Determined' <br /> LIB,RARYfEE <br /> Land Accoiinf Land-Credit Land Total <br /> Facility Account Facility Credit. Facility Total <br /> Exempt [Q Yes ❑ No How Determined Total Amount <br /> RESOURCE'FEE' -ERU <br /> TOTAL AMOUNT <br /> Prepared By. P Chacited By <br /> NO CERTIFICATE:OF OCCUPANCY_11ILL BE ISS,UWOR FINAL INSPECTION <br /> PERFO 56 UNTIL.'tHt',TCTiALAM t.jNT#:LISTED RAVE <br /> REAR PAlQ:AND Y:d <br /> RECEIPTED FOR BY-A CENTRAL'PERMITTINO OFFICE:OF PASCO COUNTY <br /> Acft)W adgement.bolow doae not imply acceptance of concurrence,but s!TpVrecelpt of=a_copy,of.Utla form,placing - <br /> the building peririit'owner on noUC D of thie assessment-and ttie'condigons of payment for same; <br /> DATE zz- RECEIVED BY - - <br /> RECEIPT NO. DATE BY <br />