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<br />NOTICE <br />OF <br />RESOURCE RECOVERY ASSESSMENT FORM <br /> <br />PERMIT if <br /> <br />11"."' i .- .-: <br />/ '1'/-//, ? <br />I / ,,:? <br />, IT <br /> <br />DATE <br /> <br />/ '"/] 'j" <br />- t;l . .- ..., .... <br />. ("._~..... r~ <br /> <br />;,.J -+--' .- <br />APPLICANT / OWNER (' -' .b:.6.-/.:/1f-.li.-U' /(;]/i if!!(,'.l S. <br />/1 .J <br />COUNTY PARCEL tI /.,:2 - ~ / {j ~/ - ~ ~- ;) - --31- <br /> <br />LOCATION ~9;;f~ ~~>:1:m!.L (~.. <br /> <br />, ~'. <br /> <br />USE/CODE DESCRIPTION "*L,/~r/.A,.:;f;.~(:.' <br /> <br />) . -- -.:< 1- <br />,;(.r)l" ) <br />. ~ ..,.1 '-_ <br /> <br />RESIDENTIAL <br /> <br />NON-RESIDENTIAL <br /> <br />Ii UNITS <br /> <br />/ <br /> <br />GROSS SQ. FT. (GSF) <br /> <br />RATE/ERU=$SO.OO X 0.96*/YEAR OR $O.1315/DAY ERU ASSIGN tI <br /> <br />ASSESSMENT = (tI UNITS)X($0.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) <br />100 <br /> <br />TOTAL FEE = $ <br /> <br />.,' ..' <br /> <br />'! i <br />>( i'l <br />, <br /> <br />TOTAL FEE = $ <br /> <br />.f <br />( <br /> <br />. / <br />/' /.. / t <br />, f / i C /J" ('; I of' I J <br />/ <br /> <br />PREPARED BY <br /> <br />.~r'"'''' ./ <br />J:.''''- /' {,~_/ (/ ) / <br /> <br />/ <br />* DISCOUNTED FOR PREPAYMENT <br /> <br />--------------------------------------------------------------------.----------------- <br /> <br />The above assessment has been established pursuant to the Pasco Coun.ty 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 C/O OR FINp~ RELEASE. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />--------------------------------------------------------------------.------------------ <br /> <br />FOR OFFICE USE ONLY <br /> <br />RECEIPT il <br /> <br />DATE <br /> <br />BY <br />