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PASCO COUNTY, FLORIDA� <br /> Permit No. r Z <br /> Date Permitted 1 <br /> ~Builder Name/Owner Name 1'1U rl Control W <br /> County Pafcs!No. < 2 Z5 Z i laQ�b MOD SubDiv: <br /> Address/Location ��tl1t C <br /> Classification/Type of Usk ,t <br /> TRANSPORTATION IMPACT FEE • Rate: Sq.R Unit: �, //3 <br /> I Exempt ❑Yes (Q No How Determined <br /> Impact Fee Amount. ; = Zone No. TAM <br /> SCHOOL]MPACT FEE <br /> Account (056) _Singls-Famliy Detached House Amount $ zz1 Z <br /> (057) Mobileftme <br /> t (0$8) OthervReaidentlal <br /> 123) Collection Fee <br /> ` Exempt [ Yet3.. Q No How Determined <br /> PARKS ANDSECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT <br /> Exempt ❑Yes []Na How Detel'ml . A <br /> UB,RARY FF <br /> Land Account Land Credit. Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt C]Yes J3 No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By �_�� L_. Checked By <br /> -NO CERTIFICATE.OF OCCUPANCY WII L A ISSUEp;OR;FINAL INSPECTION <br /> P"ERFOIE O UNTIL TNE,TOTAL�AMOQWS:WVMD i4A%4 <br /> StOg tA0AND <br /> RECEIPTED FOR BY A CENTRAL PERMINTING OFFICSOF PASCO COUNTY <br /> AciasoxvfedgWnWd.below does not,W*,,acceptance of concurrence;but eimply,receipt otp Oppy;of this form,Ptadrip <br /> the turicdtiia;permh owner on raft ofthle asseemwM and ihe'oanak"Is of payment for salve. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />