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<br />
<br />PASCO COUNTY, FLORIDA
<br />
<br />. .' ... ,.....~-.~.,..-,.. ., "',.
<br />
<br />flll il<l., 1.1.,11810 Wile' N a Ille . L;Jy,'1JL.Ilp.~! L~ k'~._ ..
<br />CIIIII r1y P a '"ell" , 3 Lt- .;{. y- JJ '._O() t (J :OC):.{ 0
<br />
<br />Pelllilll'Ju.
<br />I Jete Pen llllled
<br />
<br />J.:i..2(1~- _....
<br />1/ - / - ._ (.'J '.';l
<br />.........u._..3 u.... ..,L.
<br />
<br />Control #
<br />
<br />.....-.......--.........u
<br />
<br />1\<I<I,"ssll "".IIc". .3 '7 fJ C". . tV, ~~" tJy f, _ _. ____
<br />
<br />
<br />CI"ssifi"all, ',lllyp" of Use_ _. ~h",bd.,~ lk:>~._._.
<br />
<br />/\" ,
<br />Suh/)I\!: l~ \P~\J,~\L..~~lD .:C'_\~ o.....~
<br />
<br />----.-.-.--....--.-.....
<br />
<br />"'R/\NRPOlnAlIU~J IMPACT FEE
<br />
<br />/
<br />
<br />nals:
<br />
<br />L~xerlljll II Yes l~lr\Jo
<br />
<br />---- ""'---.....-.
<br />
<br />Sq Ft Urill:
<br />
<br />Ilow Detennlned
<br />
<br />ImIJEl(:l h:ie /\lllotllil p...J;iJrK. ()~/.
<br />'s'clI6i)C;MPA(~fFEEc'.,.
<br />
<br />10118 1\10.
<br />
<br />TAl:
<br />
<br />Acr;(JlIllt
<br />
<br />(I Jon)
<br />(tJ I) l)
<br />((Hi Il)
<br />CI2})
<br />I ~~/y es
<br />
<br />SlIlole..Farnily DelEte/led I louse
<br />Mohile IloIIIH
<br />ell/IeI' F<esldelltlal
<br />Collecllon Fee
<br />L] No Ilow 'Jeten n/ned
<br />
<br />"....'''.....~."-".....-.,,..., .-...,._,,~ ..........
<br />
<br />AnlOI rnl Hi
<br />
<br />I.:xelllpt
<br />
<br />f'.AR i(S.ANflTieh"REkff6;ff.E E....'
<br />Land !\c;(;OIIlj( Land Credit
<br />
<br />----.--.....-. --.. ._-~'.
<br />
<br />- -'_.-....,..................,..._-,.;.."............,...._~......,...-
<br />
<br />I~e(:l fji:-lliun I\c;CI )111 It
<br />
<br />--LarlctT6fEif
<br />....__.~:;.:~."--~-.
<br />
<br />L(lllt:
<br />
<br />--
<br />~I----
<br />
<br />.f1Br.T'ealloll (;, edit
<br />
<br />_...__..,~- ..----.-
<br />
<br />necreaUull Tolal
<br />
<br />!:xel';lj./t>/ 'r\-ls ../ No
<br />
<br />.---/
<br />
<br />TOTAL AMOl INl
<br />
<br />fli...
<br />
<br />'LfaiiARVf:eif"
<br />Land f\(;C(Jllld
<br />
<br />Ilow Uetennlned
<br />
<br />""-. ....-..........,..._.~.... u ,..~_..,..__".,.
<br />
<br />Lallel Credit
<br />
<br />..-.'...... ...-."..--.....-. ..... '."." ...., ..... .'..., .....
<br />
<br />Fadllt)1 /\ccutJ/ It
<br />
<br />.-u.LafHI-lntar" .
<br />~~~-~~.:_~~::-,-:..
<br />
<br />l:Xblllpl !.<J.Y-es..'r-j r'~o
<br />
<br />-- .J:.aJAIHyCreC:lit
<br />
<br />--~--
<br />
<br />". . -. -- -- ---'-..
<br />
<br />Facility Total
<br />
<br />t-~-
<br />
<br />How I Jetellllined
<br />
<br />-...,-~....,.........-.....-.. ...~'. ~....~.... ~ ...........--... "'~ ._.~, '-" .. '. ~~._,......~~
<br />RESOIInGE FEE
<br />TOTAL J\(vIC)lJl'i'I
<br />
<br />Total AIIIOllllt
<br />
<br />L~'_~~'"""""_~_'_~"_"_"""k.......__" ""'~""""'''''--''''''''''''_~'' '.U"""'~"'~""" ...... ...".._....._... ~'''. ..~. ........-."w
<br />r:nu
<br />
<br />'Q ..., " '.L 'M,,' """R '''k "'" -"'-'-" -,~ "~ ". ~ '.' ~.... _ ~"'"''''~.. ._~..._... "'4... ''''''_n.,_
<br />
<br />- .-, '..,..., .......n___...
<br />
<br />Prepared By
<br />
<br />Cllecked By
<br />
<br />".. -.....-."-........,,."" ...".. '-.'-.,. ., .. '.' .....c.,.. .............."... ... ........ ...
<br />
<br />-'. -_.-.. - -_. -... ..--
<br />
<br />NO e~HTIfICAT~ OF OCr;UPANey WILL BI: ISSUE/) Of! FINAL INSPEGTION
<br />l'EHFOHMl:n UNll1.. 'IIIE TOTAL AMOUNlS I.Js'n:1f) HAVE
<br />BEI:N PAID ANn
<br />1<I:r;I:rPTEI) FOllay A CENTRAl. PERMITTlNB OFFIGE OF PAS()() COIINTY
<br />
<br />A""n"w"do"""nl h.'nw dOBS n..1 "n ply a ceapl.n", 0' "on<all"n"a. hili Bi",ply "call'I 0' , "opy 01111" (01"'. 1,la"IIIU
<br />II '" I" .lIdlno ''''",11 uwn" 01111011", o( Ihl. ,,, ,,,"'., II aOdlh, cuodillol" o( pal'l "'0' (01 B" oe.
<br />
<br />DA./'F
<br />REC:ElfJT I~Cl. {(/ r.! l Y (\~.)
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