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,''',~~;'-..~r -. .-........,-.--. - -........ ';.-.'. .-.--..-.....,.- '.- NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM PERMIT II ,./',,) l/ / ... ,-\_-) , DATE ") /' .. " APPLICANT/OWNER - '(.',; ...i COUNTY PARCEL tI .) ,I:" , .. '. I .,~~- LOCATION ~_i USE/CODE DESCRIPTION .'.-... ,.... "- RESIDENTIAL NON-RESIDENTIAL If UNITS GROSS SQ. FT. (GSF) ,~ " ,/- RATE/ERU=$SO.OO X O.96*/YEAR OR $0.131S/DAY ERU ASSIGN II ; [:' ~ J ~._: ASSESSMENT = (tI UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) 100 TOTAL FEE $ TOTAL FEE = $ ~sr ,!' PREPARED BY * DISCOUNTED FOR PREPAYMENT ---------~--------------------------------------------------------------------------- The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197 as commended. THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID. APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESS~~NT FEE PAYMENT PRIOR TO C/O OR FIN~~ RELEASE. i ,.' , ./ , ~',,/ ,/ 'A../1/i' , ~. I f2., RECEIVED BY DATE -------------------------------------------------------------------------------------- FOR OFFICE USE ONLY , " i J ~ DATE RECEIPT II .,f \,.,./ -, BY