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<br />I <br />i <br />I <br />1 <br />I <br />I <br />I' <br /> <br />r..;..:'..... <br />I' <br />I <br />j <br />I <br />i <br />! <br /> <br /> <br />PASCOCOU~TY;:FLORIDA " <br />b=~~~~;; <br /> <br />Control # <br /> <br />,'O\9-o'lt <br />Suilder Na!11e/~Name CO'\f'.' (\"'~-'ri-ucA-1 l.;r-, , <br />, county parceJ ~")"3 - 2~- ~ I - i?OI 0 - 05300:-' 0000 <br /> <br />SUbDiv: <br /> <br />. ' <br />Address/Location '3 '14 I \ b i \'-a rv-\. e>1 ud '. <br />.Classlfioationrrype of,Us~ N.e.t...0 . Q5~1~~d' L~ ~'~<1e ~A~"~ . <br />, , ,) , ' <br /> <br />Tf{ANSPoRTA'T10N IMPACT F.~~, ' Rate: .' Sq Ft Unit;' 1..\ 1 /734- <br />~X8mpt 0 Yes m No H~ pfliarmlnecl <br /> <br />Impact fee Amou!lt $, ;V-{''35'l . 0 q <br /> <br />PJne'No. ' <br /> <br />TAZ: <br /> <br />SOHOOL IMPAc;r FeE ' <br />Account (056) Slngle-FE!mlly IlBiached House <br />" . (057) Mapile Home <br />(058). 'Other Residential _ _ <br />,J:l23) Collection fee' . <br />EXBJTlP1 .l~'yes 0 No How patarmln~d <br /> <br />Amou!1t $ <br /> <br />PAR-K5AND' RECREATION FEE <br />Land Aocount . Land Credit <br /> <br />~nd Total <br /> <br />Recreation Accmmt <br /> <br />Recreation Credit <br /> <br />F<<ilcr8ati~n ~otal <br /> <br />Zone <br /> <br />TOTAL,AMOUNT: ~ . $ <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE' <br />l.:and Account" <br /> <br />...R~9.II~;.f'.qc~l.Illt. <br />-' . ", ';-;";"~"-"""""" , <br /> <br />How,PetBrTnineq <br /> <br />Land Total <br />FadlDty Tota! <br /> <br />!-and Credit <br />Facility qredlt <br />How Determined <br /> <br />,Total Amount <br /> <br />i=xempt 0 Yes ' 0 No <br /> <br /> <br />, , ERU <br /> <br />I 1,0' <br /> <br />prepared By <br /> <br />hec!<ed By <br /> <br /> <br />NO 9!:RTlfIGATE Of OGGU ,~CY WILt.. BE; ISStlED OR FINAL II\ISPECTION <br />P.ERFPRM~ U,NTI~THE TOT.6J.. AMOlfNTS USTED HAVE <br />, BCEN PAID ANP. .', <br />RI=GEIPTEp FOR BY A OEtrrftA.L PJ:FUI.'IlTING OFFIGE,OF PASCO COUNTY <br /> <br />~Jit--\ ~ \ " \)1, <br /> <br /> <br />Ac:knowladgamant oalow does not Imply accep~ of eoiwPrrance,'buhlmply receipt of.a copy,-bf thll; <br />, "the building pe""lt D~erOn notice oflh16 assessment Br!'! thfl condllloru; (If payma,Rt for sa a. <br />. . . ~. . <br />:* <br /> <br />RECEIPT NO. <br /> <br />RE <br />DAlE '\ Z\2-~ /h C)y , ' <br />