2120 S STATE COLLEGE (2)Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
Hinumited
uCERTIFICATEofCOMPLIANCE
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.Returned checks (NSF)are subject to a $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1AnAH-E-HM &€■£)
OWNER INFORMATION:
Name:Irvine Company
2 Address;550 Newport Center Dr.Newport Beach 92660
Phone Number:Home(Cell (760)300-6171
APPLICANT INFORMATION:
3 Name:Cami OKelly
Cell (714)388-2058PhoneNumber:Home (
PROPERTY INFORMATION:
Project Address:
Development Type:(^)Residential -New (
()Single Family
Project Name:GatewaV II ADU
12Q.S._State College4 ()Commercial:)Residential -Room Addition
()Multi-Family Condos/Apartments #of units:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
1387TotalSquareFootage:
Multiplied by Current Rate
Anaheim Elementary .^&teCT.fSigtrirt (AF.g;n)~$;3,.T2-i_flZ_
Anaheim Union High Scf^l District (AUHSD)=^3,321.87
Equals Total Fee:$^79
5 Elem.$_
H.S.$
=S
=$
EqualsTotal Fee:$=$
FEE WAIVER:
Fees Waived:()Yes (X)No6 if yes,reason:
ACKNOWLEDGEMENT:
The above respresentations as to square footage are true,Developer/Applicant agrees that if it is later determined that such respresentations
are not true,Certificate shall automatically termil^te and the appropriate City/County shall be notified.
Developer/Applicant Signature:
7
1
TCERTIFICATION:
This certifies that the above named Developer/Applica(;it has paid school facility fees in compliance with Government Code Sections 53080 and
65995..
8
Repr^entative -Anaheim Union High School DistrictDate
cACTUALFEESPAID:
Anaheim Union H.S.Dist.
Check No.
Check No._^tc^§fL9
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department