3143 W LANEROSE DR, UNIT I&JBt-D202 \'-06l2L^\CXn21AnaheimUnionHighSchoolDistrict
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520UNLIMITED
(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
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 $30.00 administrative fee.
was
RECEIPT NO.:
\D
ELEMENTABY DISTRICT:-HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
Sixteen Investment LLCName:
Address;2 24 Archipelago Dr.Newport Beach.CA 92657
Phone Number:Home (909 SQQrSZfiS.Cell(
APPLICANT INFORMATION:
Phone Number;Home
3 Name:
Cel}(
PROPERTY INFORMATION:
Project Address:3143 W Lanerose Dr.,Anaheim,CA 92804 Ulif X
Development Type:()Residential -Nevy (}Residential -Room Addition
()Single Family
4 ()Commercial:
{)Multi-Family Condos/Apartments#of units:
Project Name:3143 W,Lanerose
COMMERCIAL:RESIDENTIAL:
Total Square Footage:
Multiplied by Current Rate
Total Square Footage:
Multiplied by Current Rate
%9-
5 Efem.$=S Elem.$
=S H.S.
Equals Total =s Equals Total Fee;$=$
'FEE WAIVER:
^Fees Waived;()Yes (ff)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
are not true,Certificate shall automatically terminate and the appropriate ^y/County shall be notified,
Developer/Applicant Signature:
1
f'efy.
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
6599S.'f'/8
tative -Anaheim Union High School DistrictDate
ACTUAL FEES PAID:
Anaheim Union H.S.Dist.
Check No.
Check No.9
i
Distribution;Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department