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<br />PASCO COUNTY, FLORIDA
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<br />---_.,...""._..._--~,,'""~,,.'",,_.....,_.~.--~_.._,-.,- ,-_.~,. -~._..,.....".".,_."_..-._,....._------".._.~_.",, ....~._-
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<br />'"
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<br />Permit Nu, ,3e' ,35-
<br />. ----------.._--~ '-- .-.-----.
<br />Ilate Pellnllled
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<br />Builder Name/Owner Name S0!f!l.~.Q~.___ _ Control #
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<br />--,,~~-._----
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<br />County Pateel ",10,....._ .___._.........____.__________.________ SubDlv: __._.__._____.____.
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<br />Addles slLoca lion .... ':i 'l2~..<;-r~.sI.~ _.__.. .... . .~~_..___.._.... ._._.. __. ._
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<br />ClassiflcaUolllrype of Use --~:~.LpJ-~_'_____~__.__m_____..__.______. ..-----_.u____
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<br />TRANSPOFHATION IMPAGT FEE Hate:,_____..______.. Sq Ft Unlt_._._._..__...____
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<br />._._----_._~_.._._----_._~
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<br />Exempt [J Yes IzrNo
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<br />How [)eter/Illned
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<br />Impact Fee Amount .-~--.--.L;i€.._~~___..__.___
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<br />--'~--...._, ~ -.-.----..-- -- ._._----~.. --- _..~-----.
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<br />.--.....-___..__ _..u_. _____
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<br />Zone No,
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<br />~~~~I:1~~~~T ~9~~I:~F~~~;;~;:CII~;J~~:se---.__:~,::,;-....;_==;7~~?~~' ~~~.
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<br />(057) Mobile Horne ____._____ ._______..._______._.
<br />(USI3) (Olliler Residential ___________________.._______ _______
<br />j '12:3) CQ1!eyffoll Fe.e
<br />Exempt I J Ves 11..I-No How Determined ~~~.~_.__~.,~.._._...~_.__ .__.._.~ .
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<br />----.-----.-
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<br />TAZ:
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<br />---- . _........ .. ._----.__.~ - --"-'-
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<br />PARKS'A~r5' RECREAOONFEE---'--'--"------
<br />Lanu Account Land Creui
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<br />---.,.".,.-~-~_......._"--_.._---_.,..-
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<br />---'-- -,--...... -.~-_.-.
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<br />Land Total
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<br />Recreation ACCUl lilt
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<br />---.". ~--. --------.,~._...nM__.
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<br />Zone
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<br />I'\ecrealion Credit r~ecreation Tolal
<br />---_..n______.. ____ '_'_'_ _________ ......_._
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<br />npl L:..J Yes !] No
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<br />..
<br />flow Determined
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<br />TO'I AL ^MOUNl_~____.._._.._________._.____
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<br />---..- -_._-.~------_.- -
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<br />L IB'R'A'RY"Fe E~'''''-'~'''''''' ...,-_.__..~ ,......~.._.........-_.._-.-,~~"'"'......-~--.-,.".u_,~.._.~..._.._________._.._._.."
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<br />Land ACCount Land Credit Land Total
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<br />-..-.-----.------- -..----.--- -----------.----,,<-------..----.----..-
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<br />.------------. -----------
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<br />Facility Accoullt
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<br />'"-- ..---_,..~'_~__h__~___..
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<br />- .--------.__________ Facility Total
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<br />[] No
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<br />How Determined Total AI'IlOllllt
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<br />---.--.--.-."-~.......,,~-.,..._.....---,..-.>-"-- - ~ ~---'--_a_ '__~_'___
<br />RESOURCE FEE 1 g ~ ERLJ ._______________._
<br />TOTAL AMOUNT I
<br />--.-------.-.-- ----------
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<br />-.-.--.--.--....---- -.----.--- .....----.
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<br />----'--'_._.._."_.."-_._,._..._._-_..._."'_._~--,._,~..~.-_._'->--->-~.,_...",.""-----~-_..-
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<br />Prepared By .....__.___._________________... Checked By
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<br />- .'---- -- ------ - -.'-.-. -., ._-- ._----_.~--- -'--'---
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<br />NO CEHTIFIGATE Or: OCCUPANCY WILL BE ISSUED Of~ FINAL INSPECTION
<br />"Eru=ORMElJ UNTIL THE TOTAL AMOUNTS LISTED 1.1~r; .1t-
<br />B~~N PAID ANI') . ..)>~..".....'y;..:'
<br />. J:.:r.:. ~~4c.;.;~1{~7::..;,...4"'.. ';'" 4
<br />RIiCEIPTl:D FOR BY /.\ CI=NT~^1 OI::OIlllI'Y"'r..", ".__...<-
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