2811 W STONYBROOK DR, B (2)Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
RECEIVED
JUN 0 9 2022
UNLIMITED
n CITY OF ANAHEIM
PLANNING &BUILDING DEPARTMENTCERTIFICATEofCOMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
NOTICE:The 90-day period in which you may protest the fee described herein will begin on the date this fee is paid.However,if the fee
imposed by the City or County as a condition of approval for your project,and you have received the requisite notice,the 90-day protest period[began at the time your project was approved.Returned checks (NSF)are subject to a $30.00 administrative fee.
was
RECEIPT NO.:ELEMENTARY DISTRICT;HIGH SCHOOL DISTRICT:
Anaheim Union High School District r3A
OWNER INFORMATION:
P\eTName:
Address:2
Phone Number:Home (Celini^)'S30Z.
APPUCANT INFORMATION:
I Name;
Phone Number:Home(
3
Cell (-{j^]^^’'1 ~
PROPERTY INFORMATION:
Project Address:\/\i,
DevelopmentType:()Residential -New ()Residential -Room Addition
()Single Family
■,kjC^Q-evYWUif D fVOU..
UVi\,T'5’nP—(JPr ●4 ()Commercial:
()Multi-Family Condos/Apartments#of units:
Project Name:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
I Elern^^
SIDENTIAL:
3^Total Square Footage:
Multiplied by Current Rate
5 =$Elem.$
=S H.S.
Equals ToJaPfee:$=$Equals Total Fee:$=$_
FEE WAIVER:
^jFees Waived:()YesIaCKNOWLEDGEMENT:
iThe above respresentations as to square footage are true,Deveioper/Applicant agrees that if it is later determined that such respresentationslarenottrue.Certificate shall automatically terminate and the appropriate Citv/County shall be notified.],,J
(Deveioper/Applicant Signature:c
If yes,reason:
zCERTIFICATION:
This certifies that the above named Deveioper/Applicant has paid school facility fees In compliance with Government Code Sections 53080 and
65995.
8 Lo c
Represe^tive -Anaheim Union High School DistrictDate
(ACTUAL FEES PAID:
lAnaheim Union H.S.Dist.
i«v^'g-.gy Check No.
Check No.
Distribution:Deveioper/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department