1626 W CATHERINE DR, B & CBLD2021-03742/-03744AnaheimUnionHighSchoolDlstnct
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
CERTIFICATE oHlOMPUmCE
PAYMENT of SCHOOL FAOLiTV FEES
NOTICE:Tile 90-dav period in which you mny protest the fee described herein wil'begin on -I'.e date Uiis fee is paici.Hnwnvor,if llie fee wn;,
imposed by the City or County as a condition of approval for your project,and you have received the reo j'site notice,the 90-ciay proiosl poric-o |
began at the time your project was approved.Returned checks (NSF)ore subject to a $30.00 administrative fee.
i
iHIGH SCHOOL DISTRICT:
■Anaheim Union High School District
ELEMENTARY DISTRICT;RECEIPT NO.:At)1 I
OWNER INFORMATION:
Name;
Address:N\oMr6oMgit.v,
.CellfJIO;
2
Home (SfOltticLlyMPhoneNumber:
APPLICANT INFORMATION;
Name:
Phone Number:Home (-/o>8
3
PROPERTY INFOR^ylATION:lolfs Ifv/.C4i\eri/fe Viu^e CA ^^801ProjectAddress:
Development Type;(4 )Cnnirnerciai;)Residential ■Roorri Addilion
(j Muiti-!-”mi!y Conrios/.Aprr'trnen!;"of uni
)Residential ●New
()C)Single Family
^^HIM II »«●:.<«««.●●^RESIDENTIAd.://^?r
Elern $●3.^I
L/
Project Name;
COMMiERClAL:
Total Square Footage:
Mullipiled by Cui rent Rate
Total Sci.'arc Footage:
Muitioileri by Current Rate
5 Elem.S
5_.
=s
H.S.=S
Equals Total Fee:$Equal^JetafFee:$=S
FEE WAIVER:
Fees Waived;(
I
6 If yes,reason;Yes o
ACKNOV/LEDGEMENT:
!,Developer/Applicant agrees that II it is later determ.ned liiat
(the appropriate City/Coumy shail be notified
jiC-Si r.uihotvTheaboverespresentalionsastosquarefootagearetrtu
are not true.Certificate shall automatically terminat >ani
.11'
7
LMDeveloper/Applicant Signature:
;
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees In compliance with Governmorif Code vertions :;r
65995.SL8
resenw^e -Anaheim Union l-iigh .S-rlioo r);it;-u:fDate
ACTUAL FEES PAID:/.09(x>
Check No.
Check No.9 $Anaheim Union H.S.Disl.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accou’>ttiig Denartmcn: