Laserfiche WebLink
„, <br /> ` ,,� <br /> _� :, i p,q,�CO COUNTY, �L�I�IDA <br /> � ; . <br /> Permit No, � <br /> pate Permitted -30- l 1 <br /> Builder Name/Owner Name �„�P n/1a r �S ��-- Control #' <br /> County Parcel No, Z�3 Z�� Z( D 23o C�C��-b��SubDiv. ��- <br /> C�f � <br /> Address/Locatfon � 7 �4 5 � "”` � � g � � <br /> ' `E , a� �c'� c.t) +�l �l6YYL..Q <br /> Classification/Type of Us� � r O`l� /t <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit; ► 31 I <br /> Exempt ❑ Yes ❑ No Haw Determined <br /> � Impact Fee Amount $ 3�" ��- Zone No. _ TAZ: <br /> SCHOOL IMPACT �EE `( <br /> Account (056) Single-Family Detached House Amount $^�� 5�''t� d� <br /> (057) Moblle Home <br /> (058) Other Residentlal <br /> 123) Collectlo�l Fee <br /> Exempt [� Yes [] No How [?etermined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account � Recreatfon Credit Recreation Total <br /> Zone TOTAL AMOUNT $ � � � • 5 (o <br /> Exempt ❑ Yes [� No How Determined <br /> LIBRARY FEE <br /> l.and Account Land Credlt Land Total. <br /> Facility Account Facil�ty Cradit Facflity Total <br /> Exempt [] Yes ❑ No How Determined � Total Amount ��� <br /> RESOURCE FEE ERU <br /> T07AL AMOUNT ' <br /> Prepared By � _ Checked Sy <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTlpN <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEtPTED FOR BY A CENTRAL PERMIT7ING D�FICE OF PA3C0 COUNTY <br /> Acknowledgement below does not Imply accaptanca of concurrenoa, but simply recelPt of a copy of thl� fo�m, plaoing <br /> the bullding permlt owner on notice of this assessment and th� condltions of pa�ment for same. <br /> DATE R�CEIVEa BY <br /> RECEIPT NO. DATE �Y <br />