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? RASCO COUNTY, FLOR�DA <br /> Permit No. 2 <br /> Date Permitted <br /> 8uilder Name/Owner Name �E'✓!/l�t-r �l�?�'L'� Control # ' <br /> County Parcel No. <br /> j`�'7—� �� —�� �— ��� �� � SubDiv: PDI..� <br /> Address/Location <br /> �2(QO ( ��N1���1 ,( n l��o� !0 #�g <br /> ClassificalionlType of Us� !u—`-'� � T' ``-� ���--� � <br /> TRANSPORTATION IMPACT FEE � Rate: Sq Ft Unit; J� <br /> Exempt � Yes [� No HoW Determinad <br /> Impact Fee Amount $ 3� � Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ � �' �� <br /> (057) Mobile Home <br /> (058) Other Residentiai <br /> 123) Collectio� Fee <br /> Exempt � Yes [] No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreatlon Total <br /> Zone TOTAL AMOUNT $ `'� (a,�j ` �� <br /> Exempt � Yes � No How Determined <br /> LIBRARY F�E <br /> Land Account Land Credit Land Total <br /> Facility Account Faciljty Credit Facilify Total <br /> Exempt � Yes ❑ No How Determined Total Amourft <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared ey `� Checked �y <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTINf3 O�FICE OF PASCO COUNTI/ <br /> Acknowledgement below does not Imply acceptance of concurrenoe, but simply recelpt of a copy of lhis fotm, placing <br /> the bullding permlt owner o� notice of ihls assessment and ih� condiqons pf payment for seme. <br /> QATE R�C�IVER BY <br /> RECEIPT NO ___ DATE 8Y <br />