1406 E TURIN AVE (6)^V202 \-0^(cnu?
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
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.Returned checks (NSF)are subject to a $30.00 administrative fee.
HIGH SCHOOL DISTRICT:
Anaheim Union High School District
ELEMENTARY DISTRICT:RECEIPT NO,:
1
OWNER INFORMATION:
Name:
Address:2
CellPhoneNumber:Home (
APPLICANT INFORMATION;
Name:
Phone Number:Home (
3
fJ/31 </V<//WCell
PROPERTY INFORMATION:
moi,CA
[j/)Residential ●Room Addition
(}Multi-Family Condos/Apartments #of units:
Project Address:
Development Type:()Residential -New
{)Single Family
)Commercial:4
Project Name:
RESIDENTIAL:COMMERCIAL:
Total Square Footage:
Muitipiled by Current Rate
Total Square Footage:
Muitipiled by Current Rate
Elem.$
H.S.
=SjjerfhS_
H.S.S
5
>=S ly')=$Equals Total Fee:$=$Equ^Tdtal Fee:$
FEE WAIVER:
Fees Waived:()Yes6 (K)No 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
Certificate shall automatically terminate and the appropriate City/County shall be notified.
Deveteper/Applicant Signature:
^are not true,
z
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995'^/^k /8
4?
e,^re^i^tive -Anaheim Union High School DistrictDate
St
ACTUA(.FEES PAID:.
loiiirwy^Check No.
Check No.
$9 Anaheim Union H.S.Dist.'^s
Distribution:Developer/Applicant,AUHSO Accounting Department,Elementary School District Accounting Department
2('21-2(t22