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;� � �� PASCO COUNTY, �LORIDA <br /> Permit No. <br /> Date Parmitted <br /> Builder Name/Owner Name 1�►'i 1�.. r�'v' '' � Control # <br /> County Parcel No. D - L��b - ()(�W'�� SubDiv: �l� � ��� <br /> Address/Location .� � �p �0 9 )' � i� �1 �� � 1� q v / �W <br /> Classificatlon/Type of Us� �� n h arne <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit; i� _ <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $.3 � u� Zon,e No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ � 7�7� �b <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [� Yes [] No How petermined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreallon Total <br /> Zane TOTAL AMOUNT $ � (p � � � <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> �and Account �and Credit Land Total <br /> Facility Account Faciijty Credit Facility Total <br /> Exempt � Yes �] No How Determined Total Amount � <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL 8E ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOT'AL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMIITING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrenGe, but slmply recelpl of a copy of this form, placing <br /> lhe bullding parmlt owner on nollce of thls assessment and tha condiUons of payment for seme. <br /> QATE R�CEIVEf] BY <br /> RECEIRT NO DATE BY <br />