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., ,�, <br /> ;� � � �. ;� P,ASCO COUNTY, FLORIDA <br /> ' '� � Permit No. ) �3 <br /> Date Permi�ted ' - <br /> -�-1-�— <br /> e � �L Control # ' <br /> Builder Name/Owner Name �`�t �-� ---------- <br /> Count Parcel No. 3 - 2- 2�0 ����• � 37d SubDiv: c � �"� �� <br /> Y . <br /> Address/Location .��'''C'1' 6 f � � �� � ��`�� <br /> (P 3"1 I ' ) <br /> Classification/Type of Use L c�'�/�� Q-L V i l(� - <br /> TRANSPORTATI�N (MPACT FEE � Rate: Sq Ft Unit; <br /> Exempt ❑ Yes [] No Haw Determined <br /> � Impact Fee Amount $ 3�C � D• Zone No. T�� V <br /> SCHOOL IMPACT FEE r �,, <br /> Account (056) Single-Family Detached House Amount $^ 1 757� `�-V <br /> (057) Moblle Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [� Yes [] No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account • Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ � �� . S� <br /> Exempt ❑ Yes ❑ No How Determined <br /> LIBRARY F�E <br /> �.and Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt � Yes ❑ No How Determined � Total Amount <br /> RESOURCE F�E �,, ERU <br /> TOTAL AM�UNT �.� , ��� � <br /> Prepared By Checked �y <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL (NSPECTION <br /> PEaFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrenGe, 6ut simply recelpt of a copy of thls form, plaoing <br /> the buflding permit owner on notice of thls assessment and thq conditions af payment for same, <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE gY <br />