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<br />, <br /> <br /> <br />If <br />e <br /> <br />.,J <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Fa <br />(057) Mobile Ho e <br />(058) Other Resi ential <br />.1:123) ~ction ee <br />Exempt U Yes ~ No How Determined <br /> <br />Amount $ <br /> <br />-!/552 I/( <br /> <br />/ <br /> <br /> <br />PASICO COUNTY, FLORIDA <br /> <br />I . Pennlt No. $077 <br />I Date Permitted /0 - r?.R-u$ <br />~. Control # <br /> <br />Address/Location <br /> <br /> <br />Builder Name/Owner Name <br /> <br />SubDiv: /;~I/L ?M'd <br /> <br />v <br /> <br />ClassificationlType of Us~ <br /> <br />TRANSPORTATION IMPACT <br />Exempt 0 Yes [)(NO <br />Impact Fee Amount $ /, S- ~ <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />PARKS AND RECREATION F e <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes 0 No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />Exempt 0 Yes 0 No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE ERU <br />TOTAL AMOUNT <br /> <br /> <br />Prepared By Checked By <br /> <br />NO CERTIFICATE OF 0 CUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED ~TIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A ENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement below does not Imply apceptance of concurrence, but simply receipt of a copy of this form, placing <br />the building permit owner on qtice of this assessment and the condltlons of payment for same. <br /> <br />DATE <br />RECEIPT NO. 00 Q).113j-- ATE <br /> <br />RECEIVED BY <br /> <br />BY <br />