825 W BROADWAYW'-V-I U
Anaheim Union High Schooi District
501 Cfescent l/Vay,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITEDvou RECEIVED
APR 22 2022
CITY OF ANAHEIM
PLANNING &BUILDING DEPARTMEN iCERTIFICATEofCOMPLIANCE
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:
Address:2
CellPhoneNumber;Home (
APPLICANT INFORMATION:
Name:^
Phone Number:Home (
3
Cel^^
PROPERTY INFORMATION:
Project Address: Development Type:1 )Residential -New 4^^Residehtial -Ro^Additiori
()Single Family
Project Name:,
()Commercial:
Multi-Family Condos/Apartments #of units:
4
RESIDEN^AL:COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
73 .S''Total Square Footage:
Multiplied by Current Rate
H.s. $iP-=$/^9/3
Elem.= $Elem.$_
H.S. $
5
= $
= $_Equals Total Fee:$= SEqualsTotalFee;$
FEE WAIVER:
Fees Waived:( )Yes ()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
not true.Certificate shall automatically terminate and the approprlate^ity/County shall be notified.^are
Developer/Applicant Signature:
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8 T
Represehtati^-i^hal^eim Union High School DistrictDate
AaUAL FEES PAID:
S /.*9 A3
Check No.
Check No.
$9
Anaheim Union H.S.Dist.
Distribution:Devetoper/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
BLD2020-04995