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1969 W LULLABY LN (2)Anaheim Union High School District 501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520 RECEIVED (714)999-5454 UNLIMITED MAY 23 2022 CITY OF ANAHEIMplanning&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 wasImposedbytheCityorCountyasaconditionofapprovalforyourproject,and you have received the requisite notice,the 90-day protest periodbeganattheitmeyourprojectwasapproved.Returned checks (NSF)are subject to a $30.00 administrative fee. Elementary district:RECEIPT NO.:HIGH SCHOOL DISTRICT: Anaheim Union High School District 1 Act OWNER INFORMATION: Name:f^\unaU\Ci Address:_uj w w ■)>i I igiJOsf LA,Hnanfj m r ’rni.azpIJil Cell Cj 2 Phone Number:Home ( APPLICANT INFORMATION: Name:L A\vcV0 Uimcj.il aPhoneNumber:Home ( 3 Cell (1/^1 if PROPERTY INFORMATION: iV-UHlM Ca^^i2Sd'^ Development Type:()Residential -New (X)Residential -Room Addition ()Commercial: ()Single Family ()Multi-Family Condos/Apartments#of units:M\Mxl^\lliA fW\ICir3 Project Address:4 Project Name: COMMERCIAL: Total Square Footage: Multiplied by Current Rate Elem.^ RESIDENTIAL: Total Square Footage: Multiplied by Current Rate 5 Elem.$,=$ .s.$H.S. Equals ToJaFF^e:$=$Equals Total Fee:$=$ FEE WAIVER: Fees Waived:()Yes6 )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 respresentationsnottrue,Certificate shall automatically terminate and the appropriate City/County shall be notified.7 are Developer/Applicant Signature: CERTIFICATION: This certifies that the above named Developer/Appilcant has paid school facility fees In compliance with Government Code Sections 5308065995.,,and 8 RepreSentath^Anaheim Union High School DistrictDate AaUAL FEES PAID: $Check No. Check No. 9 Anaheim Union H.S.Dist.$ Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department