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BLD2019-03095 CAPD ITY OF NAHEIM LANNING EPARTMENT BDSFF UILDING IVISION CHOOL EE ORM Customer Information: Name of Applicant/Owner: Contact Phone Number: Project Information: :23F/TboubBobTu/ Project Address: cme312:.141:6 Plan Check Number: Development Type: Residential Single Family 3-431 Square Feet of Living Space = __________ (Additional Notes: ) Residential Multi Family Number of Units: _______ Square Feet of Living Space = __________ (Additional Notes: ) Commercial Square Feet = __________ (Additional Notes: ) School District Information Please take this to the following School District Office: Anaheim Union High School District: 501 N. Crescent Way, Anaheim, CA 92801 - (714) 999-5454 Orange Unified School District: 1401 N. Handy Street; Bldg. F, Orange, CA 92867 -(714) 628-5369 Placentia School District: 1301 E. Orangethorpe Avenue, Placentia, CA 92870 - (714) 986-7000 *Return payment receipt or waiver to the City of Anaheim Building Division* 802:032FHB Date: ____________________ City Employee: ____________________