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<br />.' <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br /> <br />Control #.. <br /> <br />Builder Name/Owner Name J,)~ ~ <br />County Parc"el No. 3 i{: ~ S' ~ 2J ~DO 10- 0 Il j <br />Address/Location -3 71J; '3 3 ~ Ii IJ C , <br />ClassificatlonlType of Use IV\A:> b' ~. <br />TRANSPORTATION IMPACT FEE <br />ExeH1P.t 0 Yes Q110 How Determined <br />.00 <br />Impact Fee Amount $ {l L..{ rO Zone No. <br /> <br />/' . 11, <br />SubDlv: ~~ <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />Jj 91J Collection Fee <br />Exempt !JYes 0 No How Determined <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Amount <br /> <br /> <br />~~pIt~' ; <br />:t;J'/':: <br />. ~~ <br /> <br />,-< <br />'-""'-'-.~' <br /> <br />nd Total <br /> <br />Recreation Account <br /> <br /> <br />Recreation Total <br /> <br />Zone ~ <br /> <br />~vLfYes [J No <br /> <br />TIBRARY FEE .-.. <br />Land Account <br /> <br />TOTAL AMOUNT $ <br /> <br />How Determined <br /> <br /> <br />Land Credit Land Total <br /> <br />Facility Account _______" <br /> <br />-------- <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />--- <br /> <br />Total Amount <br /> <br />\4.~ <br /> <br />ERU <br /> <br />Prepared By <br /> <br />----~ <br /> <br />Checked By <br /> <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />AClmowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing <br />thEl bUilding permit owner on notice of this assessment and the conditions of paymentfor same. <br /> <br /> <br />RECEIVED BY <br />NO. ~~ DATE q-;t;;J.-03 BY D \.Na~ <br /> <br />