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.` PASCO COUNTY, �LORIDA <br /> Permit No. � ZJ� �7 <br /> Date Permitted <br /> Builder Name/Owner Name t �frn(�C���L Control # <br /> County Parcel No. 35 - ZS - L� � 3 'U(�� "OUSp SubDiv: �����v �+,�S <br /> AddresslLocation ��dC� �� r� �� �J ' <br /> Classification/Type of Usg C'u"m�'��` �� ��'� �� k <br /> TRANSPORTATION IMPAGT FEE , Rate: ��� '�3 Sq Ft Unit; , Z ZU _ <br /> Exempt � Yes [] No How Determined <br /> Impact Fee Amount $��Z9" � Zon,e No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ -� <br /> (057) Mobile Home <br /> (058) Other Residentlal <br /> 123) Collaction Fee <br /> Exempt Yes [] No How Qetermined <br /> PARKS AND RECR�ATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recfeation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ �� <br /> Exempt [] Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Faciljry Credit Facility Total <br /> Exempt [� Yes � No How Determined Total Amount �_ <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By � Checked Sy <br /> � <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIQN <br /> PERFORMED UNTIL 7HE TOTAL AMOUNTS LISTED HAVE <br /> RECEIPTED FOR BY q CENTRAL RMI'TT NG O�FICE.OF PASCO COUNTY <br /> Acknowledgement be�ow doea not Imply acceptance of concurrenoe, but slmply recelpt of a copy of thls form, placing <br /> Iha building permit owner an notice of lhls assessment and ih� condidons of paymenl for same. <br /> DATE <br /> R�CEIVEQ BY <br /> RECEIPT NO �_ DATE SY <br />