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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />-..--- <br /> <br />Permll No, __Lrtf: <br />Date Permitted .- _::~O.3 <br /> <br />Bulltle, Nelna/OWlle' Name ~$'I.M~ ( 7' 4wntro, # <br /> <br />County Parcel No, 4-.~.~~~L:12Djf2=.PGJ~)(.)-'Z-jQ'j SubDiv: ________~_.___ <br /> <br />Addtess!1 ocatlon -cJl_7:...~.;;2--C~lB:1tLJ2u.. /~ <br /> <br />ClaSSlfleatlonlType of Use ~J~(=~~~_____ <br />/ <br />Rate: __________ Sq Ft Unit: <br /> <br />T'RANSPORTATION IMPACT FEE <br /> <br />" <br /> <br />eX~ffipt [] Yes 'Q( No How Determined _________._____._______________ <br /> <br />:~~8~I:e~ A~_o(~l1tMf{_e,~ Zone ~ __~=-~~ ~A~:== <br />SCHOOL IMPACT -1EE <br />Acocunt (066) Slngle~Famlly Detached House <br />(057) Mobile Home <br />,..'. . ., '. (058) Other Residential <br />'-Z>--'''.'~;I)~ Collection Fee <br />, (tG. ":~~.lljll>l,,~' I? N~ How Determined <br /> <br />~KS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Amount <br /> <br />$ <br /> <br />------------------ <br /> <br />----- ----.-..------- <br /> <br />Land Total <br /> <br />-------~,-_.- <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />---...-----. -.....--- <br /> <br />LOrle <br /> <br />TOTAL AMOUNT' ..1__._________._..____ <br /> <br />. ,!i"F;;~xernpt [] Yes [J No How Determined <br /> <br />LiB~AAY FEE~--~---'-- <br />band Account Land Credit <br /> <br />--_._----_._._._--_.~."_._--,-.---_.,_._----. <br /> <br />--"I..,~..___--------~-- <br /> <br />----.--.-----.---.--.--- <br /> <br />Land Total <br /> <br />-_.~.. .----..------..------- <br /> <br />ra<.:lIlty Account _.__._._____ Facility Credit ___________ Facility Total '___.___._._ <br /> <br />_._._'-----~-,. _.~.._,.._._--~ <br /> <br /> <br />Exempt [] Yes [] No <br /> <br />How Determined <br /> <br />..--..--- ---- <br /> <br />Total Amount <br /> <br />~g~~~~~~~ --!Jr 91!~" <br /> <br />ERU <br /> <br />--.......-.....,......-,..----.---J..,--.._..____....w___~_.________---............ <br /> <br />Prepared By .___, ____.__.__'--____.._____ Checked By ________.______ ____ <br /> <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEl:N PAID AND <br />RECEIPTEIl FOR BY A CENTRAL PERMITTING OFFiCe OF PASCO COUNTY <br /> <br /> <br />A61mowladgarHent below does not Imply acceptance of concurrence, but31mply receipt of a copy of this forml ~Iaorhg. <br />' the bulldli,g perl11ll owner on notice of this assessment and the conditions of payment for Bame. <br /> <br /> <br />"~~::'~~N6i~1~~d/!:' ;fill/V?sY RECEIV~B~/, <br />- ~ -_.._~~.. <br />