613 S BRUCE ST, B’fett)20 22-OD
RECEIVED
JUN 2 7 2022
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES "
C'i’v OP ANAHEIM
''.COiPT'
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 $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
Name:Roger Yang
Address:613 Bruce St.Anaheim CA2
PhoneNumber:Homef714 Cell(
APPLICANT INFORMATION:
Name:Adam Stewart3
PhoneNumber:Home(801 )638-0283 Cell(
PROPERTY INFORMATION:
Project Address:Bruce St.Anaheim CA
Development Type:(x )Residential -New (}Residential -Room Addition
{)Single Family
Project Name:New Detached ADU
4 ()Commercial:
()Multi-Family Condos/Apartments #of units:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
Total Square Footage:
Multiplied by Current Rate
5 Elei =$Elem.
H.S.$=S H.S
Equals TqJaFF^:$=$Equals Total Fee:$=S
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
are not true.Certificate shall automatically terminate and the appropriate City/County shall be notified.
Developer/Applicant Signature:
7
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.Lc8
laheim Union High School DistrictRepresein&tfDate
ACTUAL FEES PAID:
Check No.
Check No.
9
Anaheim
Distribution:Deveioper/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
Doc ID:63e83ef3e65258c82101e8a157f38472^.^2771