8165 E. Santa Ana Canyon Rd.
OCT-21-2005 16:34
OUSD FACILITIES&PLANNING
714 997 G180
P.02/03
CERTIFICATE OF COMPUANCE
PAYMENT OF SCHOOL FACILITY feES
ORANGE UNIFIED SCHOOL DISTRICT
726 W. Collins, Orange, CA 92867
(714) 628-4500
Developer/ Applicant Name:
Address:
Cily Of Anaheim
200 S Anaheim Blvd
Anaheim. Co 92805
Phone: 'J<OS-5'/SS-
Owner Nome:
Address:
same
Phone:
Address/location:
Type of Project:
Lot#:
Tenlative Tract #:
No. of Dwelling Units:
8165 E. SonIa Ana Anyon Rd.. Anaheim
gymnasium APN#:
o Single Family
o Multi family/Condos/Apt.
Total Square Footage:
Multiplied by Applicable Fee:
Other:
illi
Appllcoble Fee level: t8l1 02 0 3 0 <I
Total School Facmty fees:
Total School Facilily Fees:
Total Square Footage:
Multiplied by Applicable Fee:
~
Total School Focmty Fees:
NO t8l YES t8I REASON:
City owned building
The above representations as to square footage are we and correct. Developer/ Applicant agrees that if it is
later determined ttlat such representations are n t true. Ihen this Certificate of Compliance shall automatically
terminate and the appropriate Cily/Coun1'l be no
DevelOper/ Applicant Signature:
This certifies that the above nomed Developer/ Applicant has paid school focility fees in compliance with
Education Code Section 1762D et. seq. a Government COde Section 65995 et. seq.
Dole: October 21.2005
Nome:
litle: Executive Secretol\l
NonCE: !he 9O-day period In which you mQy prote,t the lee descril)ed here' will bellin on the date this lee I. paid. HC>WeVer. it the lee
was Imposed by the City or County os Q condition of opprQllol fo< your project. and you have received 1ne rtlquisile notice. lhe 1>O-cI"l'
pm,,,,t petiod ""gon 01 the tIme you( project WOO approved by lhe CIly or County.
cer1illCote of compliance
Rev.02.24-04