2050 S LIDA LN, BVLb2022'Opl^\b
received
JUN 0 )
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
2022
CERTIFICATE of COMPLIANCE cityofanaheimPAYMENTofSCHOOLFACILITYFEES'"^*^'^^8uiLDWGDEPARTfts\T
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 District1 A>
OWNER INFORMATION:
Name:
Address;
Phone Number:Home(
T-O^o -s Ur^A LAi^fc2
Cell(
APPLICANT INFORMATION:
Name:
Phone Number:Home f 1)-"W Vh
3
Cell
PROPERTY INFORMATION:
Project Address:_QV
Development Type:()Residential -New (>4 Residential -Room Addition4 ()Commercial:
()Multi-Family Condos/Apartments #of units;()Single Family
f^-CTAu4eo M\)Project Name:
COMMERCIAL:
Total Square Footage;
Multiplied by Current Rate
Elenr^
RESIDENTIAL:
.=$
Total Square Footage:
Multiplied by Current Rate
5 =$Elem.$
=$H.S.
Equals Total-fee:$=$Equals Total Fee:$
FEE WAIVER:
^Fees Waived:{)Yes jy No If yes,reason:
ACKNOWLEDGEMENT:^
The above respresentatlons as to square footage are true,Developer/Applicant agrees that if it Is later determined that such respresentations
are not true,Certificate shall automatically terminate ^nd the appropriate City/County shall be notified.
Developer/Applicant Signature:V.ACERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995
8
^
Representaftvfec^naheim Union High School DistrictDate
ACTUAL FEES PAID:
9
Anaheim Union H.S.Dist.
//Cs>^3>.^/33$Check No.
Check No.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department