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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />........................_,...."'.''"'...............".'-'-",.......'"'''-,~,...........'-''-''-~........''---...............~. <br /> <br />.~......--....-...-..............._...... _.........._..---.......-.....,....,~......~.-....- <br /> <br />Irnpact Fee AlTlOllnt .~.._,_ <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />'sCI'ioc[1MPACT FF.E---~..-..~--_..._---~~'--~~..-....----~-....._-_._._~--_....__~ <br />Account (056) Single-Farnily Detached House Amount $ ___'.__ ___...__'_..__"_,...._...,.. ,__ <br />(057) Mobile Home __.____'_,..___,..,___,__,__,_,. <br />(CJ58) Other Residential _____'..______._.."..__..,____. <br /> <br />Exe III p t [J! ~ 28 U~~on F~.7ow D eten nln8r1_ _.__ _. . ___. __. . ______ .. _._m._ _ _ <br /> <br />'p ARf<S AND' RECREATION FEE ..-,.--.--.-----~.~._------..--_.__.._,_._. <br />Land ACCoIHlt Land Credit Land Total <br /> <br />-'~-'-_._.- -,..... .._~--._- ---.- <br /> <br />---'-'--.,- - -.-- _.._'~----_.- <br /> <br />Recreation Account r~ecreation Credit Hecreatloll Total <br /> <br />-~~"._..-._- - '---'-'-"- ----~._-_._--..~_._, ~- ---"--'-"-''''~ <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br /> <br />..~-_.,-- <br /> <br />Exernpt [J Yes [] t'Jo <br /> <br />Ilow Determined <br /> <br />..........-,.......,,_...u.....;,~___........,_.~_...,~ ~_ <br />LIBRARY FEE <br />Land l\ccOlJl It <br /> <br />- m_..._______.___..____ . .__..'~ ..._. ____.. _." _ _____."__.__ __._. ,____ _'. __._.. <br /> <br />,._~""..,-...-----....._.-.........--"".._,.._._.-"-""-._"'-~........----..."-~_._"."""-"'--.........._~.,,..._-,..................""-'->...--..._.....................~_.........."'..........._--'-._......_........_,--_._-"--....._._,...~ <br /> <br />Land Credit <br /> <br />_.,-..._-----_.._---~~---.__._- <br /> <br />Land Total <br /> <br />Facility ACclllJl1t <br /> <br />-_...". .._....4____.___.._....,____.____ <br /> <br />Exempt [-j Yes [J No <br /> <br />Facility Credit .___.._.'_,________. _,... Facility Total "____________________. <br /> <br />How Deterrnined Total AnlOlIllt <br /> <br />----....--.,---- ._--~--_.__...-.__..,~--- <br /> <br />REsoTIFi'C'E-FEE"""--"--'~-'~-'~---'--------'. <br />r .. <br />TOTAL }\MOUNT . !.', <br />1_____--,.. <br /> <br />"" ...--....-'""----_...."""-..'...__._,~~-_..--.-.... <br />ERU <br /> <br />. -._.,.,._.._._.......'~-~."-_. '----...-.-.----- -"'---","-,- <br /> <br />....-.......-.... '-"'-'-'''' ,......~-""..~----..._'~._-~----~-,_..__...__...._-----~_._._--_..."_._"_._.__.._--_..._..._-~ <br /> <br />Prepared By <br /> <br />......"..'.'---..______________ Cllecked By <br /> <br />---,.'".-. ~--..----_..-" -'-... --'--.~-,--..,--..>. '_.b.____..__. ~_'_.__ <br /> <br />NO GEHTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />I)ERPORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFIGE OF PASCO COUNTY <br /> <br />Aclilluwledgernent uelow does not Imply acceptance of concurrence, but simply receipt of a GOPy of this form, placing <br />tile blJlldlng pennit owner on notice of this assessrnent and thE! conditions of payment for same. <br /> <br />-.----,-,..-."-.. ,,-- ---_. ..~. '-.-,.-- -._~".. ._..__._.__._---~.~-_._-_._._--- <br /> <br />DATE <br /> <br />REC;EIPT NO. <br /> <br />", ,.' DATE <br /> <br /> <br />,-,-----'-.1.___......, __, <br />RECEIVED BY <br />;/ <br />i 't.! <br />BY i !\ ( , ' <br /> <br />-l--~--- ....--.---. <br />I <br />, <br />t <br />I <br /> <br />, : <br /> <br />_4.__ _._.....___"____.__~.,_~_._._ <br />. . <br /> <br />- ----------- -....._....._..~......-. <br />