509 N HARBOR BLVD B (2)Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
RECEIVEDUNLIMITED
JUN 0 1 2022
CITY OF ANAHEIM
PLANNING &BUILDING DEPARTMENTCERTIFICATEofCOMPLIANCE
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 $30.00 administrative fee.
HIGH SCHOOL DISTRICT:
Anaheim Union High School District
ELEMENTARY DISTRICT:RECEIPT NO.:An1
OWNER INFORMATION;
Name:LON NGUYEN
Address:509 N HARBOR BLVD,ANAHEIM,CA 928052
Cell(714 )933-6746PhoneNumber:Home(
APPLICANT INFORMATION:
Name:HEATHER VO3
Cell (714 ]757-1387PhoneNumber:Home(
PROPERTY INFORMATION:
Project Address:509 N HARBOR BLVD,UNIT B,ANAHEIM.CA 92805
Development Type:(X )Residential -New ()Residential -Room Addition
(}Multi-FamilyCondos/Apartments#of units:
4 ()Commercial;
()Single Family
Project Name:NEW ATTACHED 864 ADU with 2 bedrooms,2 baths,open living room /kitchen,laundry.
RESIDENTIAL:COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
✓*864TotalSquareFootage:
Multiplied by Current Rate
H.s.=s /.
5 Elem.$Elem.
H
Equals Total Pee:$=$EqualsTotal Fe^
FTe WAIVER:
Fees Waived:(}Yes6 ijO if yes,reason:No
T7ACKNOWLEDGEMENT:
The above respresentations as to square footage are true,Deyeloper/Applicant agrees that if it is later determined that such respresentations
are not true.Certificate shall automatically terminate and thi /appropriate City/County shall be notified.
Developer/Appllcant Signature:
7
/-^
CERTIFICATION:
This certifies that the above named Developer/Appiicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8 VjD
rtati^-Anaheim Union High School DistrictDateRe^
ACTUAL FEES PAID:
$Check No.
Check No.
9
$Anaheim Union H.S.Dist.
Distribution;Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
20Z1-2022