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<br />(" ....... lP"",-!,:,., <br /> <br />NoTICE <br />OF <br />RESOURCE RECOVERY ASSESSMENT FORM <br /> <br />APPLICANT/OWNER <br /> <br />"'~/ " , i /i/ <br />/"'/!-,'1/ -C/, <Lt_ '/ / l:"?J~.~ <br /> <br />PERMIT i~ <br /> <br /> <br />DATE <br /> <br />I I, '--;'-' <br />."".,1 ,'/",Vj':r,j' /'1',' ,'m/ <br />.;. J/'_ _~' ' !!..,-Z:' <br /> <br />;3 <br />-2 / L;// I <br />"",'- _ /, 1_ I') /l <br />" / I pi..... <br /> <br />COUNTY PARCEL tl <br /> <br />.'""" ._'~-~) //.~ - <br />,..... <br /> <br />-~) /... <br />. <br /> <br />': /'-7 l~ ' - {,,) (..1"1"./ I:'" (:.--i .- ;~' <br /> <br />,~: '''?, /"', <br />..::. .-........ ..."~, <br /> <br />LOCATION <br /> <br />< // ~ t..J <br />ii, :-~/ (" <br /> <br /> <br />USE/CODE DESCRIPTION <br /> <br />'l' , <br />, '. "" ~') I / ' <br />-.G-. ,~,""A~.'-X/"L/ ,( "iiL.../r.;. ...J-.."" .... ~V'-/, /A.~--" <br /> <br />--.'...... <br /> <br />", ;:) .-, ,,: ~--.rl... ,,'.' <br />.......; <:..,} / . _.{:::.,..I\A..L.-~C <br />.,i .- <br /> <br />RESIDENTIAL <br /> <br />NON-RESIDENTIAL <br /> <br />ti UNITS <br /> <br />/ <br />I <br />J <br /> <br />GROSS SQ. FT. (GSF) <br /> <br />RATE/ERU=$SO.OO X 0.96*/YEAR OR $O.131S/DAY ERU ASSIGN # <br /> <br />ASSESSMENT = (# UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) <br />100 <br /> <br />TOTAL FEE = $ <br /> <br />TOTAL FEE = $ <br /> <br />PREPARED BY <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 />ot 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 II <br /> <br />I ,..,/ / <br />/ ~. / <br />I .,/ I. <br /> <br />1 <br />1/ <br /> <br />DATE <br /> <br />/ <br />,;.~.- <br /> <br />'''", <br />.~j <....) <br /> <br />BY <br />