<br />- ------------- --- --- - ~~-- - --
<br />
<br />....----1. - --- ---- -..- -----'-.-.---'~- - ~ -- 1
<br />,
<br />
<br />'.
<br />
<br />I"~
<br />L,
<br />
<br />I",
<br />
<br />I Ir'lf:;
<br />n
<br />
<br />\':\ T!:" [_"J.; ./ ()
<br />f"' !.. 1"
<br />
<br />t ~ r'n_.
<br />,..: (:11 ,;;..
<br />
<br />! ~. ~..
<br />
<br />; , t ''1 r:. i':' ,
<br />
<br />i \' r;. ;"f; .,~.
<br />
<br />'..
<br />
<br />C t
<br />
<br />:-'in (;1.: :,,;1 ,I,
<br />
<br />1 J F L> to, 'r j~: ~ i:! T
<br />f'" i 'l" 17' I (..p.,! ;oJ; c:: ..'" ! I
<br />", i l.i n \I' F J' l' ,:rH;j
<br />
<br />.1 (} \::~l
<br />
<br />.1 "'1 ~;. j'-: lor (F I,," I ! I"!"
<br />
<br />J ~ .., f" ','
<br />I 1.>
<br />
<br />, ,
<br />
<br />:-'j ~:, I J L 1
<br />
<br />fit
<br />
<br />HI.. \, I, II
<br />
<br />r'; F: IL( v' "Hi. i, "i, ,i :".~
<br />"'1'" :>,,: i r:. (': i'"' : i.. " :l\'
<br />
<br />'1:1 (;
<br />
<br />(,:, 'I'
<br />
<br />C:CI:~'j
<br />
<br />,::,: t: i" {'jl Ji-!'!
<br />
<br />1",;'
<br />
<br />',II'H)! 'i': r
<br />f l"~ (, ;\", i:-!i.! (, I
<br />
<br />',::'
<br />
<br />1
<br />
<br />,.1
<br />
<br />'T"I'- T '.If
<br />
<br />h:i'\,'
<br />
<br />I I \.i
<br />
<br />;'';t:.
<br />
<br />-r ;..'
<br />
<br />ii/I j": /i ')
<br />
<br />.'l-"'-'
<br />
<br />{.j 1 i: . F i . i"~:r r :!i: 'I( ,":' ,:~i. 'J" :u- ;P (J L ::' !""'! (~l ~~:' 'I
<br />
<br />\{;I,( ,Il '.,'i"l't: ,., i.t.t -.,r";:: )'j'J r[.i.'~ "C (,I:: 1,1'" ':~("l(
<br />:(;( .j,,(. l H T c.: ." ,.; .. '1' i:;:.c (' T I.:, t, ", II F>' .n: .\,. ii;
<br />
<br />/1
<br />~ ,
<br />
<br />.... ..
<br />
<br />/'" t
<br />
<br />,/
<br />
<br />j/
<br />
<br />Y'''I'~' /
<br />I
<br />
<br />;.. I
<br />/, .' .~
<br />
<br />:' ,.
<br />\. <. l
<br />
<br />r.,,,;;
<br />. / !
<br />
<br />'.; I
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED
<br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
<br />
<br />Acknowledgement below does not imply acceptance of concurrence.' but simply receipt uf a copy of this form. placing
<br />the huilding permit owner on notice of this assessment and the conditions of payment for same.
<br />
<br />Date
<br />
<br />Received By
<br />
<br />OFFICE L'SE ONLY
<br />
<br />TRANSPORTATION REC. NO.
<br />
<br />DATE
<br />
<br />BY
<br />
|