2790 W LINCOLN AVE (3)/~6H|-^
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(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 $30.00 administrative fee.
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RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District (AA
OWNER INFORMATION:^'
1
Name:PAULNIKQLAU
Address:2790 W LINCOLN AVE.,ANAHEIM,CA 92801
Phone Number;Home (714)
2
Cell(
APPUCANT INFORMATION:
Name:Joseph Karaki3
Phone Number;Hpme(714)695-93QQ Cell(
PROPERTY INFORMATION:
2790 W LINCOLN AVE.,ANAHEIM,CA 92801ProjectAddress:
Development Type:()Residential -New (}Residential -Room Addition4 (X )Commercial:
{)Multi-Family Condos/Apartments #of units:()Single Family
Project Name;
COMMERCIAL:
Total Square Footage;..^^CrCD
RESIDENTIAL:
Total Square Footage:
Multiplied by Current RateMultipliedbyCurrentRate
Elem.S
H.S.
5 =$=$Elei
H.S.$=S
Equals Total Fee:$=$Equals Totshfee:S =S
FEE WAIVER:
Fees Waived:()Yes (6 No If yes,reason:
ACKNOWLEDGEMENT:
The above respresentatlons as to square footage are true,Developer/Applicant agrees that if it is later determined that such respresentatlonsarenottrue.Certificate shall automatically terminated the appr^rlatJ City/County shall be notified.
Developer/Applicant Signature;\\0~^/A \
7
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8 3
Date .epi^entative -Anaheim Urtion High School District
ACTUAL FEES PAID:
Check No,
Check No.
9
Anaheim Union H.S.Dist.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
2021-2022