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<br /> <br />Permit No. ____~ 7 :; <br />Date Permitted <br /> <br />/3~c /'MAr- t/-o~T!le5 .7:;r. Control # <br /> <br />County Parcel No. LLj -2/, -2./- ()tl(D - n ::5 560, 0 If;, 0 <br />Address/Location ___Lt (j-fJ,~ ?/Ulh sT. <br />Classificationnype of Use /) I) ().J 6y <br />. I <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt 0 Yes ~ How Determined <br />Impact Fee Amount $ /5 tf' g7-- Zone No. <br />t <br /> <br />SubDiv: <br /> <br />-.---- <br /> <br />Sq Ft Unit: <br /> <br />TAl: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J'12~~) Collection Fee <br />Exempt LJ Yes ~ How Determined <br /> <br />Amount $ -____..22,2 . _~_~'__ <br /> <br />---.----------- <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />-....--- <br /> <br />Land Tota <br /> <br />Recreation Account <br /> <br />---.----.-.--- <br /> <br /> <br />Recreation Total <br /> <br />Zone ____ <br /> <br />Exem~o <br />~ <br />LIBRARY FEE ~ <br />Land Account ________ Land Credit~ <br /> <br />Facility Account _~ Credit <br /> <br />-.---..-- <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />How Determined <br /> <br />Land Total <br /> <br />--------.-------- <br /> <br />Facility Total <br /> <br />Exempt <br /> <br /> <br />o No . How Determined <br /> <br />----- <br />SOURCE FEE <br />TOTAL AMOUNT <br /> <br /> <br />Total Amount <br /> <br />1 \ t(P <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO r.F~TIFI~J1TI= (''II: f'\('f"IID^t>',",VUlIII. ...... ...........__ #0__.. <br />