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<br />..~.F''';'''''';'f;;",;;.,'~ "',,<;"'1', <br /> <br />" ", "'~"':';l{ ,,". <br /> <br />NOTICE <br />OF <br />RESOURCE RECOVERY ASSESSMENT FORM <br /> <br />". .-~ <br /> <br />___ ~,; ,:1 <br />PERMIT II ::~)/-) i.~; ({ L'5 <br />DATE <br /> <br />APPLICANT/OWNER <br /> <br />?' <br />.,- , <br /> <br />AI-'l <br />i '/;' <br />, \.. ,....-/ <br /> <br />COUNTY PARCEL II <br /> <br />// /-,/ ,r1) " ../ <br />r',/ - '... .i i 'J') --" ..,.."/ - / <br /> <br />/ <br /> <br />\ <br /> <br />LOCATION <br /> <br />/~/ /' /} <br />. C.,r" "",, <br /> <br />- /{k' /~./ (1///.1':(:(...1,' <br /> <br />USE/CODE DESCRIPTION <br /> <br />, , .~< ~"". <br /> <br />;<" ./ -'"'; / h' '} 1. /' I ,'f ~. <br />,} ....t:....' ~, '#~.:-''i.'-' -'" ,,( / ~,~ " <br /> <br />RESIDENTIAL <br /> <br />NON-RESIDENTIAL <br /> <br />/i UNITS <br /> <br />/ <br /> <br />GROSS SQ. FT. (GSF) <br /> <br />RATE/ERU=$SO.OO X O.96*/YEAR OR $0.131S/DAY ERU ASSIGN /I <br /> <br />ASSESSMENT = (/I 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 />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/CI. 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 FIN~~ RELEASE. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />-------------------------------------------------------------------------------------- <br /> <br />FOR OFFICE USE ONLY <br /> <br />RECEIPT /1 ' <br /> <br />DATE <br /> <br />BY <br /> <br />.' <br />