6126 E. San Lorenzo Ln.
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES
ORANGE UNIFIED SCHOOL DISTRICT
726 W. Collins, Orange, CA 92867
(714) 628-4500
Developer/ Applicant Name:
Address:
Tam & Laura Pham
~'1'26'E:"S-=L'tlTeozo:tami':}.
Anaheim, CA 92807
Phone: 714-282-8554
Owner Name:
Address:
Same
Phone:
PROJECT
Address/Location:
Type of Project:
Lot #:
Tentative Tract #:
No. of Dwelling Units:
addition
APN#:
Total Square Footage:
Multiplied by Applicable Fee:
Other:
870
$2.24
~ Single Family
o Multi Family/Condos/Apt.
:R.ESlotIliTIAl
Applicable Fee Level: ~ 1 02 0 3 04
Total School Facility Fees: $1.948.80
Total School Facility Fees:
COMMERCIAL
Total Square Footage:
Multiplied by Applicable Fee:
$0.36
Total School Facility Fees:
FEES WAIVED
~ NO 0 YES
REASON:
The above representations as to square toot age are true and correct. Developer/Applicant agrees that if it is
later determined that such representations are not true, then this Certificate of Compliance shall automatically
terminate and the appropriate City/count:..~1I be notified.
Developer/Applicant Signature: C~0/{/~
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with
Education Code Section 17620 et. seq. and Government Code Section 65995 et. seq.
Date: 3/10/05 Name:~-""/A ~ Title: AdministrativeSecretary
NOTICE: The 90-day period in which you may protest the fee described herein will begin on the date this fee is paid. However. jf 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 by the City or County.
certificate of compliance
Rev.02-24-04