2205 S SPINNAKER ST, BRECEIVED
APR 1 8 2022
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
●●●.n 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 $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
:IZ?.Z^^LVT>^^Cfi<=i220JPhoneNumber:Home(S^C^)*"
Name:
Address
Celt(
APPLICANT INFORMATION:
Name:
Phone Number;HomefCtZ)^2!
/s
cell 3^4 -GV4‘i
PROPERTY INFORMATION:
Project Address;
Development Type:(v^Residential
()Single Family
●Jt.
4 -New ()Residential -Room Addition ()Commercial:
()Multi-Family Condos/Apartments #of units:
Project Name:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
Total Square Footage:
Multiplied by Current Rate
a.o^5 Elem.$_=$Elem.
=$H.S.
Equals TotaLPdS^>=$Equals Total Fee:$=s _
FEE WAIVER:
Fees Waived;()Yes (6 ^0 If yes,reason:
ACKNOWLEDGEMENT:
The above respresentations as to square foomge are trie,Oeveloper/Appiicant agrees that^t is later determined that such respresentationsarenottrue.Certificate shall automatically ^rminate fndkhe app|bpriate City/Cq^nty sh^j/e notified.
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
65999.
8
Representative Anaheim Union High School DistrictDate
ACTUAL FEES PAID:
Anaheim Union H.S.Dist.
3/^d)Check No.
Check No.
$9 ^3-L$
Distribution:Developer/Applicant,AUHSD AccountingDepartment,Elementary School District Accounting Department