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<br />'f' ~... <br /> <br />" <br /> <br />," ,.,. <br /> <br />NOTICE <br />OF <br />RESOURCE RECOVERY ASSESSMENT FORM <br /> <br />..' <br /> <br />PERMIT If <br /> <br />-, I " <br />c:'''' (;I:) ,~}. <br /> <br />, '} <br />/ ~~ <br />i,J <br /> <br />DATE <br /> <br />4' _ <br />, <br /> <br />//" <br /> <br />r' j <br />. ,,/ ;........,..""'- <br /> <br />APPLICANT I OWNER <br /> <br />, " <br />/ ,;' ~,. <br />; i', /_ , <br />j.. } . " .-r .I/L_ <br /> <br />I' <br />, l) <br />"l..X~' <br /> <br />,,'I. >1 /~1 <br /> <br />COUNTY PARCEL tI -S' ,;'; (-. <br /> <br />,/ / --. I ,_5' ... ~:' <br /> <br />s- <br /> <br />LOCATION t, 0 .3 / <br /> <br />/ <br /> <br />'~"f"( <br />'-;,'- ";;)! <br /> <br />/ <br /> <br />;;/ <br /> <br />/ <br /> <br />.L... <br /> <br />.~' <br /> <br />,-~ , .' I ',. <br />'~, _;':i:-~~~ /' ~' -. ~A l .'.' I' <br />'0' ,t)"'(;", ( <br /> <br />./ <br /> <br />USE/CODE DESCRIPTION <br /> <br />'. ( /.: <br /> <br />Iv! i <br />/ / / /i~..t <br /> <br />. , 'j ,'. (' <br /> <br />RESIDENTIAL <br /> <br />NON-RESIDENTIAL <br /> <br />Ii UNITS <br /> <br />/ <br />I <br /> <br />GROSS SQ. FT. (GSF) <br /> <br />RATE/ERU=$50.00 X 0.96*/YEAR OR $0.~315/DAY ERU ASSIGN # <br /> <br />ASSESSMENT = (# UNITS)X($0.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.1315)X(NO DAYS) <br />100 <br /> <br />TOTAL FEE <br /> <br />$ <br /> <br />':::) .~.) ,\~;~,~> <br /> <br />TOTAL FEE = $ <br /> <br />, <br />, <br />PREPfiRED BY />:t,',.." ,j <br />* 'DISCOUNTED tOR P1u:PAYMENT <br />\,' <br /> <br />, . <br />if t' <br /> <br />'!. '" <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 TLME 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 />'..... <br /> <br />ff.~ <br /> <br />DATE <br /> <br />t <br /> <br />RECEIVED BY <br /> <br />'~ <br /> <br />FOR OFFICE USE ONLY <br /> <br />RECEIPT II ) <br /> <br />--'/;\../) <br /> <br />I DATE <br /> <br />"'- i '_,.Ij <br /> <br />,,~....- <br /> <br />BY <br /> <br />, (' <br /> <br />\. \ \. <br /> <br />/"".'\ <br /> <br />'f'" . <br /> <br />'\ , <br />,", ('\~ --.. . <br /> <br />(/ <br />