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a <br /> F-• <br /> tSCO COUTY : LORIDA <br /> Permit No. 12 71 <br /> t Date Permitted IZ-Z2-2a <br /> Builder.Name/OwnerNamell.Ll P Control#' r <br /> Comity Parcel No. bq: -W 61u 000,E 5�!a subPiv: ._.- <br /> Address/Locatlon 14.4,64 <br /> ClasstflcatlontType of.Usq <br /> TRANSPQRTATfON IMPACT f+EE Rate: Sq.Ft Unit: .? _ <br /> Exempt ❑Yes 0 No How Determined <br /> Impact Fee Amount .;s_ Zone No. TAM <br /> SCHODL:IMPACTfBE':. <br /> Accci nt (056) t3ingl4 homily Detoc�_ ed.House Amount $ <br /> � � (057) .Motilie°•home. . <br /> (058) Othex'Resklential <br /> 123) ollectiori Fee <br /> ` Exempt [ Yes:°Q"No How Determined <br /> • ' 'PARIC$?AND�RECREAI'ION'FEE - <br /> WOcIlAccount Land Credit LanclTotal i <br /> Recreation Account Recreation Credit .Recreation Total <br /> Zone TOTAL AMOUNT69- '� <br /> Exempt 0 Yes (]1Vo How Detefrnlned" • <br /> LIBRARY,,FE.E , <br /> Land Acoattn# Land•Credit Land Total <br /> Faculty Account Facility Credit Facility Total <br /> Exempt E]Yes Q No How Determined Total Amount 49' <br /> RESOURCE FEE ERU <br /> TOTAL AM06i"T <br /> Prepared By t Checked By <br /> -NO CERTIFICATE OF OCCUPANCY:WILT.,BE:ISSVEID.OR:PINAL INSPECTION <br /> PERFB fiIiED flC�!'i1L TH ; `fl?M AMOI ANTS LISTEd'HAVE <br /> 13EEN;P.1.A I AND <br /> RECEIPTED FOR BY A CENTRAL'PERw.nNO OFFICE!OF PASCO COUNTY <br /> • Acfir�wtedgement,below-.does:not Imply acceptence,of concurrence but simply.receipt of•e copyr.af thla form,placing - <br /> ttte big ft paMg owner an nonce of this;assewment and the conditions bf paymenf ibr same. <br /> GATE RECEIVED BY - <br /> RECEIPT NO. DATE BY <br />