220 E. Palais Rd.
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Anafteim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92B03-3520
(714) 999-2188
(714) 520-5741 FAX
CERTIFICATE of COMPLIANCE
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 was 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.
Receipt No: Elementary ~S j) High School District:
c:< ~--o ~ Anaheim Union High School District
Owner InformatiO~! . N c~:lq~~( ~2~ (7~/fAC'~
Name: I -e r. f} /YI C oS C
Address: ~~O
Phone Number: ( )
Applicant Information: ~~ a;L. ~
Name:
Phone Number: ( ) .
Property Information: ..:5~ ~ '-'l'
Address of Project: ~
Development Type: [ ] Residential - New [ ] Residential - Room Addition ( ] CommerCial
Project Name:
Type: [ ] Single Family [ ] Multi-family Condos/Apartments - # of units:
Commercial: Residential: .
Total Square Footage: [ ] Level 1 .[ .]. Level 2 - ACSD Only ( J level 3-ACSD Only
Multiplied by Current Rate: Elem. $ -$ ..Q- Total.square Footage:
H.5. $ -$ ~ Multiplied by Current Rate: Elem. $ ~$
Equals Total Fee: $ =~ H.S. $ =$
Equals Total Fee: $ =$
Fee Waiver: (1.1hlaL
Fees Waived: [AJ Yes [ ] No 'If yes, reason: . ~~-
, . .
Acknowledgement:
The above representations as to square footage are true. Developer/Applicant agrees that if it is later determined that such
representations are not true, Certificate shall automatically terminate and the appropriate City/County shall be notified.
Developer/Applicant Signature: X ~. ~r"2_
I .
Certification: _~.
This certifies that the above named Developerl Applicant has paid school facility fees in compliance with Government Code
Sections 53080 and 65995. Representati~e~on High S~ ~
ro If /os-
Date I I
ActUf/(i 51:> . . 0 ~
$ Check No.
Anaheim Union H.$. District $ /y Check No. --.............
........
Distribution: City/County - Developer - Accounting - Elementary District
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PUBLIC WORKS DEPARTMENT FEES
--TRAFFIC ENGINEERING FEES--
BUILD # 2","4... tI"]7.P 'I , \z.,cf
PROJECT SITE: Z %.~ &. r A '-~/l 5 '
SIZE: l~ ~ ~ 5 t= ^.,,/(:' It::::..
TRAFFIC FEES CIT~J>E: 1(,., J X
278-412-F724-1818 la"( ~~~~ -G + _'\._
IdS: _ . <-t 0 _ r :3 00 0 ~-
TRAFFIC SIGNAL FEE: '2. ')( Z'2. 7 =--= $
279-412-F724-3017 '(' , \ ./ +
/2. 2-1..7 -8 '?,-J::::: I~~..,.
o TRAFFIC SANTA ANA CANYON FEE:
278-412-F724-2001
TE# I c:>
o EASTERN TRANSPORTATION CORRIDOR FEE:
IOI-412-F724-6704
COMMENT: 1?e.Vt'
REVIEWED BY: ALFRED YALDA (714) 765-~3 ~
--DEVELOPMENT SERVICES FEES--
RIGHTOFWAYSS~/3D~~DBY ~ DATE:q 2-10+
o OLD ZONING CODE ~.e. in plan check or entale~ prioJ:.to July 8, 21)04) ~
o NEW ZONING CODE'
\ L{ ~ l 0\...-(
DATE: e> h. 0/0
DEDICATION ~~ -Ottifk- ~Pet-lP t?VJ
CREDIT
STREET IMPROVEMENTIREP AIR 5).Jkw'il.:1 a!.w,J
e' if S: L....~k.. ,"'" 2 s
SEWER CONNECTION FEE f.-l/-Ii.
CITY SEWER ASSESSMENT .11 "J/'j I 'Ii)
ACCT#
ACCT# "2// - <jl<- -F72'1-S~5<-
.----.,.,------~
DRAINAGE ASSESSMENT FEE tJ JA ACCT #
GRADING: .e cl~ ~ 'ikv-~)0 < ~S ppi.~; lL
WATER QUALITY MANAGEMENT PLAN (WQMP) ~ l~ _
LAND SUBDIVISION: PffZ.J !L ~,L<t> 0000 'SVgr
REVIEWED BY:
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