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~43'1t NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM PERMIT 11 o-!. L,.:/,/ '"...-(' A..j DATE i ,j L/ -, /...Z // APPLICANT/OWNER >.' i/ l",/ ,"",j .~ '.t.~. r .'1' \...-.,'}l COUNTY PARCEL t! ~-;) f/' - (..);' __ ('~'./ Cy:) L.." _.- (~ ':~ f ,~./ ~/ LOCATION USE/CODE DESCRIPTION 0 ~ v'_ / Ci /'"i. RESIDENTIAL NON-RESIDENTIAL Ii UNITS I GROSS SQ. FT. (GSF) RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.131S/DAY ERU ASSIGN t! ASSESSMENT = (# UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) 100 $ l)~ 03 ),l. ), J- TOTAL FEE = $ TOTAL FEE 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/OI. 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 ASSESSMENT FEE PAYMENT PRIOR TO C/O OR FINP~ RELEASE. DATE RECEIVED BY -------------------------------------------------------------------------------------- FOR OFFICE USE ONLY RECEIPT II , "2,;, 1-' 1 '.,,/ ..,/ ',.,', J I ,'. """- ..... , \ ,: DATE '" 1: l.. \,A..{ , ," ~ I ~" -"- - , l. ,'" B~ ~ \t; ( /-',", (' (" /--\ ':'7,.., j 71,.L , f-l '.-+ ", \._ i '; r ; I ..,~ ... -/' '_' \,..\. .t.