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<br />
<br />f.)AS(;() COlJNTY, FLC)RIDA
<br />
<br />"."".",~." "'" .;-.... ..,~, '~""."',.' .. '..'~,.~.--'._'c,.", ."...,,-,.,.;~,.
<br />
<br />'-~\"": '"' '""..... . ',"" '-, '''''.''.. '....,.. ",",
<br />
<br />J
<br />" I " . Co",'
<br />I3llildel/\JC:lllle/qwn811\Jarne -LL~.~~tI.L!d.._-L /1(~.!(!.:J;pL2- Cuntrol #
<br />COUIl(Y IJa1cullJo. I{ .2') ~AJ ,.(:t,U lu_t;_0~('~~'_ /_IJ~--f)UbDiv:
<br />
<br />rlC'
<br />FJellllill\Jn, . .~j?-/'2.I____ ___..
<br />I )a(e l'ennltled,('_~_7.L~:ll____.
<br />
<br />Addl8ss/1 ()( :H!iUII
<br />
<br />. ,.'. tr
<br />. /,_A.":: ,::,;1./ 11.,_'-1
<br />1:.. ~__._. _.~ '.._:!....;;.,
<br />
<br />/. /,1//
<br />- (.i_ .?>:~-_ -LL..
<br />
<br />j
<br />ClassificaticJlI/ I YI)8 of l JS8
<br />
<br />I) .! /, \ 'i/
<br />/ ,!.A!, )!.L:{c--"'---t"J.Lll1L.K.:.:..__u
<br />
<br />THANSPOfHATI<JN IMPACT FEE Hate:
<br />E:X8111pt II Yes l~/NU Ilow Determined
<br />
<br />f.jCj Ft Ullit:
<br />
<br />I " ,",. '7 N ."A/..'.
<br />Impact Fee /\llIULlI)tJ.//:::1..}{.2,. 'H_ . .::one O. _______._ _..__
<br />.) / 'j i 'I )
<br />"(;--;....-. .......- "'-'~""--"-'",;;'''''''';f''~'C''' J,e.._d.".. <,..,"tl:'-'f..;:;,h.."....,. . ...... ,........ ....."
<br />,,(,11001.. IMPACT FEE I
<br />Acc()ullt (0116) Sillole..Farnily lletat;lJed HOIISA 1\1110 II II ( $
<br />(OIii) Mobile HOllie ._._ ".___
<br />(0513) Otller F<esidential
<br />. jJ2::l) r:ollection 1:8e
<br />Exernpt \(1 Yes L I Nu Ilow Determlned._...._..___
<br />
<br />PARj(sANfjF~EimEA'fi6trFf:E... -c..".. ,~'..--
<br />Lalld I\CCOIII II I,alld Credit
<br />
<br />".1.......,""".---.., ,.....,_ ~.,..,.' 0 ',.1'"",. .."'- ..._....
<br />
<br />..... ......"-;..,,..""'-,.', 0_. "."_,,.....'_, ,. ,...."', .'.,,'~ ", ., ,." "
<br />
<br />laml 'j 0181
<br />
<br />neel fliililJlI /\CCUllllt
<br />
<br />I<ecreatioll Creelil l~ecreatl(J11 Total
<br />
<br />IUlle
<br />
<br />IOIAL AMOUI\n $
<br />
<br />Exelllpt I] Yes !OJ No
<br />
<br />T.iBRAf~V'FE(f
<br />L811f1 A( ;(;lJlll II
<br />
<br />Ilow Determined
<br />
<br />"." ".. ......."" . ..., "'c>,.., "._,_. ......~.._.n...,.._,.. I, " '." ""'_'_". ..,..~, >., .........." ,~...."...,.
<br />
<br />Li:lIId Credit
<br />
<br />lat)( Ilnlal
<br />
<br />Fadlitv /\(:(;011111
<br />
<br />Facility Credit
<br />
<br />Facility Total
<br />
<br />Exempt I I Yes L.J l'-lo
<br />
<br />Ilow Determined
<br />
<br />Total AlllOllnt
<br />
<br />.......,......-,...-_,-,'.......~-.~ ...."... .'''~.-~a'''-_....,_.,.,.-' ""."
<br />RESOURCE FEE
<br />T( ) IN. J\1V10UNl
<br />
<br />." :" .~"".,,~, ... . -"~"""-",,..,, ,,,,........~-- ,".., , , ~. .....--~ 0'''':'. '-"'r "'__..,....,., c'... "'". .;.,'~.,,,,",-,,-"''',,,, ,._ "-""~,""'C"",,,,",,, ...... __ .._" '-"U'-~~"_.""_'-'O '., ..... . ......."_t....>.~_~."'--..""",,. "",. '_.,'................_~'"
<br />
<br />Em,
<br />
<br />PI 81 18rell13y
<br />
<br />,.... "._'.- . ,."......'-'-",,-,......, ... ~... . ......... ",.....,-'. ....-.. .... - ..'>-- :~. --.,....'._"'''r, ....." "'Z;.' ......._'.....~...._........,_"
<br />
<br />Cf lecl<ed By
<br />
<br />NO C~:rn'IFIGATE OF OCCUPANCY WILL BI~ ISSUED on FINAL. INSPECTION
<br />PEHFORMEI> UNTil. THE TOTAL AMOUNTS USlJ:D HAVE
<br />BEEN PAID AND
<br />rU:ra:lPn~1l FOR BY A CENTRAL. PERMITTING Ot=PIGE OF PASCO COtlNTY
<br />
<br />DATE
<br />
<br />Ac:I;lIowledY81I1enl helow does Ilot Imply aGcsplancs of (;OJ\(;tlnsllce, bllt slinply rscelpt ofa(;opy of this fo rill , placlllU
<br />tile hIlI/dillY pellllll OWller (1) lIotlce of tI ~Is assesslllEJnf alld the clJn(~UolIs of PClYII18)1 tor sallie.
<br />
<br />
<br />// j 3-0.,~G. '
<br />~yp ~CF.jVEn flY
<br />[JAil {"fir~ l! BY
<br />
<br />m.-:q=.IIJ r NCl.
<br />
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