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<br />C"i'-\ \ 0 <br /> <br />''em'lll,l)r:t <br /> <br />~. Hf 1111-" /:- <br />"j <br />. () 1<' \ \1 ,> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Date Permitted _ <br /> <br />9J-<;q 15 <br /> <br />. <br /> <br />7-.5-0 U <br /> <br />Permit No. ___ <br /> <br />Builder Name/Owner Name <br /> <br /> <br />~ <br /> <br /> <br />G)O /.3 <br /> <br />Addre!>s/Localion~ <br /> <br />ClassiflcationlType of Use <br /> <br />Subd. <br /> <br />1I~'.s[ <br /> <br />How Determined <br /> <br />TR^NSPORTATION IMPACT mE CALCULATION <br /> <br />EXEMPT 0 <br /> <br />tmrllc:t Fee: AmOllnt $ <br /> <br /> <br />\y.hy?' <br />/,- <br />.-/ <br />/"~ Zone No. <br />~ <br />~ <br />/' <br /> <br />~---" <br />~ <br /> <br />Rate $ <br /> <br />Ot~O <br /> <br />Sq. FlIUnit __ <br /> <br /> <br />The ahove impact fee en established pursuant to the Pasco Cou Transportation Impact Ordinance as adopted by the <br />Board of Pa$CO unty Commissioners. ThIS amount is payab RIOR to the issuance of a Certificate of Occupancy or <br />utilization e permitted structure. <br /> <br /> <br />..,,-..-' <br /> <br />RE <br /> <br />EXEMPT 0 <br /> <br />R F.S JOFNTt A L, <br /> <br />NONRESIDENTIAL <br /> <br />No. Units ./ <br />./' <br />RaIL' ~5~()O,IY~ar <br />nr SO,142/D.ay <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />c2~ 000 <br /> <br />ERU Assign No, <br /> <br />"\:-':-'L"'Jll~'nl- (~(\, Unibl x 1$().J~2) <br />\ ,Nn. Da~~) <br /> <br />As~essmcnt ~ <br />I GSF.!. x IERLJ) x (O.1~2l x (Nn, ()ay~1 <br />100 <br /> <br />TOTAl. FEE $ <br /> <br />'fOT AL FEE $ _. <br /> <br />~() CERTlJo"ICA.lE Of OCCLJt'A.Nt:Y UK fiNAL POWER RELEASE WILL BE ISSllED UNTIL THE AMOUNTS liSTED <br />HAVE RU':~ PAID ASD RECEIPTED FOR BY A CENTRAl. PERMITTISG OFFICE OF PASCO COUNTY. <br /> <br />Acknowicdgernem below d~~ not imply acceptan(~ of concurrence. hut simply rCL:Cipl of a copy of Ihis form. placing <br />the huilding permit {IWner on notice of this assessment and Ihe conditions (If pllymC'1ll for same. <br /> <br />_J.I~1 ,00 <br />Date <br /> <br />Qqj, b~:>ed BJ <br /> <br />~ . . . - - -... -.. - - - - - . .-- - -- -- - --- -- - ...--- _", ......- ----------------- --- --. .....------ --... -~........... -'--... --- -........ ""---... -- --".. ----- ---....... - -... -- - -... -- -. - ---- --........... --- - - -- -...... <br /> <br />OFFICE l.'SE ONLY <br /> <br />l'R.~NSPORTATION REC. NO. <br />RESOl.:RCE RECOVERY REC, NO, <br /> <br />~/S616 <br /> <br />DATE <br />DATE , ,- ci) '" Oc:J <br /> <br />BY <br />BY =~~_== <br /> <br />wn,Ce <br />A.ppllCant <br /> <br />Canary <br />Tra"s/Finance <br /> <br />Canary <br />AR/Finance <br /> <br />Plnlc <br />OMice <br /> <br />Green <br />aldgllnsp <br /> <br />loo"ol'(;c <br /> <br />PC93113094/D <br />E0 39\1d <br /> <br />>1~\1W 11\1 <br /> <br />t66G986Et8t <br /> <br />8t:Et 000GILG/Gt <br />