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<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 />