<br />'t "..t_..~, i". .._~-,.~<:"!::;'. -"''':;~Y'' ~':~
<br />
<br />,,,~~;.._ '-.--,,". "'"" ' . -*~--...,"~',~ ~;;(~t::--'I"~ V'" "",j;:" /,~I .-~~ "_';\'^'~_.r:'#'" " ;
<br />
<br />NoTICE
<br />OF
<br />RESOURCE RECOVERY ASSESSMENT FORM
<br />
<br />PERMIT i!
<br />
<br />/ ,1;' l C'/;/
<br />'"-.~ /.
<br />,
<br />
<br />DATE
<br />
<br />oj
<br />'';~
<br />
<br />/ ..~
<br />
<br />,,1_.-,
<br />
<br />:''''''>
<br />.
<br />
<br />APPLICANT/OWNER
<br />
<br />~.,,'
<br />
<br />~,".,,-:/(LJ:' j.t {~.~
<br />
<br />~." l 'C.I:';.;:,J{ l "."
<br />
<br />. ,!";,,'J,, .;7
<br />,e.' t.... ,"-ie>'f'> -f.r ~ .1., I. '
<br />
<br />COUNTY PARCEL il
<br />
<br />_..~)-- ,:~.? 2; ~~ ,~~~ ;-,(</ .~-:;~.i."::~, ~--:.
<br />
<br />" -.. :..,-.~ '
<br />
<br />.--
<br />
<br />. .
<br />
<br />LOCATION
<br />
<br />/ <~~ ~:~;
<br />
<br />",'t.,
<br />
<br />I/..L.'
<br />
<br />'j /;f1-r'..
<br />
<br />/.7 i
<br />"
<br />
<br />IF
<br />, ~'':'':'';;;" .< ^. #"
<br />
<br />USE/CODE DESCRIPTION
<br />
<br />..,/'" 1 ~
<br />.;'''\ 'i":"~' ,.t.
<br />
<br />.70~:~~"'.:' . ~. '
<br />
<br />RESIDENTIAL
<br />
<br />NON-RESIDENTIAL
<br />
<br />I
<br />
<br />GROSS SQ. FT. (GSF)
<br />
<br />it UNITS
<br />
<br />RATE/ERU=$SO.OO X O.96*/YEAR OR $0.131S/DAY ERU ASSIGN #
<br />
<br />ASSESSMENT = (# UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(O.131S)X(NO DAYS)
<br />100
<br />
<br />TOTAL FEE = $
<br />
<br />f
<br />'.
<br />
<br />-,,,,,-,,-
<br />
<br />TOTAL FEE = $
<br />
<br />PREPARED BY
<br />
<br />* DISCOUNTED FOR PREPAYMENT
<br />
<br />The above assessment has been established pursuant to the Pasco County Ordinance
<br />No. 89-07 and Resolution No. 89-197 as commended.
<br />
<br />THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O. NO CERTIFICATE
<br />OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID.
<br />APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESSMENT
<br />FEE PAYMENT PRIOR TO CIO OR FINft~ RELEASE.
<br />
<br />RECEIVED BY
<br />
<br />DATE
<br />
<br />FOR OFFICE USE ONLY
<br />
<br />RECEIPT II
<br />
<br />DATE
<br />
<br />BY
<br />
|