1320 S. Sanderson Ave.
~~ Anaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520
~ (714) 999-2188
"III ,,!714) 520-5741 FAX
~r
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 gO-day protest period began at the time your project was approved.
Receipt No:
26(){'
Owner Information:
Name:
Address:
Phone Number:
Elementary Oistrict:
ltV4flEIr'\ ('77 >CrlOQ(..r
High School District:
Anaheim Union High School District
G( /3...1<:.",( 5~r-/~ -v......f'l.. A S'Fo<..
I'1>Z. S. SC.~.bv.N~ II...,. , 11""""-1_ C4 "1286'
,
7/'( ) 5'~' '7lf/
Applicant Information:
Name: rs PI"
Phone Number: ( ., I L( )
Property Information:
Address of Project:
Development Type:
Project Name:
Type:
Commercial:
Total Square Footage:
Multiplied by Current Rate:
EQuais Total Fee:
Fee Waiver:
Fees Waived:
AlJt.>vE)
$(. ~ - "itl
1'32-0 S. S"'~S'o~
] Residential - New
All",
,1"" , A"AIv.:..... CA "lZi.'
] Residential - Room Addition ['y1 Commercial
] Single Family
[ ] Multi-Family Condos/Apartments' # of units:
13'67
Elem. $ - 1& - $ Z'f'/.tC
H.S. $ ,/8 - $ 2'1'l.a,
$ . ~, = $ m.32.
] Leve [] Level 2 - ACSD Ooly [ ] Level 3- ACSD Ooly
Total Square Foota
Multiplied by Current Rate: $ = $
H.S. $ - $
Equals Total Fee:
$
] Yes
/
[ vj No
If yes. reason:
#1.4-
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 a atically termina nd the appropriate City/County shall be notified.
Developer/Applicant Signature:
Certification:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code
Sections 53080 and 65995.
/0/3/.r
Date
Actual Fees Paid:
'" .<:ih fckooh
Anaheim Union H.S. District
naheim Union High School District
$
$
;J<t?, (,
;2'f''Ur,
Check No.
Check No.
3H'1
3340
DistributIon; City/County. Developer - Accounting - Elementary District
~r:---'Y-,..
PUBLIC WORKS DEPARTMENT FEES
--TRAFFIC ENGINEERING FEES--
BUILD #..2()Cr-c>
I 5r .C>
PROJECT TE:'~ d " ~ - ~p
SIZE: 1.3 Z. t> .s
~TRAFFIC SIGNAL FEES:
279-412-F724-3017
TE# "
.$""....- ~ &<1" A. V-
If :l't!, )<"'2..
~RANSPORTATION IMPACT AND IMPROVEMENT FEES:
278-412-F724-1818 )~!:6f X~/Jc;, .::::-
o TRAFFIC SANTA ANA CANYON FEE:
278-412-F724-2001
o EASTERN TRANSPORTATION CORRIDOR FEE:
101-412-F724-6704
COMMENT: t=u-:? t>v.:7. O'~ 8-/!~ ( o~ 'j;'2-W5 ({:)7.ff'!
REVIEWED BY: ALFRED VALDA (714) 765-5183 -A.. Y DATE: Sf -Z.z.oo
--DEVELOPMENT SERVICES FEES--
RIGHT OF WAY REVIEWED BY DATE:
o OLD ZONING CODE (i.e. in plan check or entitlement prior to July 8, 2004)
o NEW ZONING CODE
DEDICATION
CREDIT
STREET IMPROVEMENTIREP AIR
SEWER CONNECTION FEE
ACCT #
CITY SEWER ASSESSMENT
ACCT #
DRAINAGE ASSESSMENT FEE
ACCT #
GRADING:
WATER QUALITY MANAGEMENT PLAN {WQMP)
,
~ t. tl
LAND SUBDIVISION:
REVIEWED BY:
~-