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<br />~,-',.'-.:"1:'--~c.-\~':'~>;" ,~"J,:'-" ;~J~r::i;~-~ <br /> <br />. - '.,' ....'-:.--~.,," :-'f! ~"-'M~'!ltl~.",,:- <br /> <br />-. -" -'., .,-...... ~''':; <br /> <br />NoTICE <br />OF <br />RESOURCE RECOVERY ASSESSMENT FORM <br /> <br />PERMIT II , .. ,..' .' , <br />.' ( ", <br />DATE , _..- ") - : <br /> <br />APPLICANT/OWNER <br /> <br />( 'J <br /> <br />/,{i,' (/\ <br /> <br />COUNTY PARCEL II <br /> <br />;J() <br /> <br />" , <br />. ",};' <br /> <br />/ .- <br /> <br />.- <br />f"- C.;. \.- <br /> <br />LOCATION <br /> <br />, "7 _./ <br />'-) . <br /> <br />J - <br /> <br />(':..' .~(./1 <br /> <br />,. / ,.~ <br />, . <br /> <br />USE/CODE DESCRIPTION <br /> <br />/'t>.~. >' <br /> <br />~ ,,~A <br /> <br />",", <br /> <br />RESIDENTIAL <br /> <br />NON-RESIDENTIAL <br /> <br />I <br />I <br /> <br />GROSS SQ. FT. (GSF) <br /> <br />Ii UNITS <br /> <br />RATE/ERU=$50.00 X 0.96*/YEAR OR $0.1315/DAY ERU ASSIGN IF <br /> <br />ASSESSMENT = (IF UNITS)X($0.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.1315)X(NO DAYS) <br />100 <br /> <br />$ <br /> <br />, <br />.f <br /> <br />TOTAL FEE <br /> <br />TOTAL FEE = $ <br /> <br />PREPARED BY <br /> <br />. I f <br />i --. ~~ ... \. (~-".:, " "'-.... . <br /> <br />* DISCOUNTED FOR PREPAYMENT <br /> <br />------------------------------------------------------------------------------------- <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 THI~~ THE REQUIREMENT OF ASSESSMENT <br />FEE PAYMENT PRIOR TO C/O OR FINp~ RELEASE. I1C"~IVItl <br /> <br />. 1'1 1M <br /> <br />DATE <br /> <br />~~,.,.... <br /> <br />RECEIVED BY <br /> <br />--------------------------------------------------------------------------------------- <br /> <br />FOR OFFICE USE ONLY <br /> <br />RECEIPT IF : <br /> <br />DATE <br /> <br />/, <br />,/ <br /> <br />BY <br />