1516 W. KIMBERLY AVE, B002)^^
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520 RECEIVED
(714)999-5454
UNLIMITED
JUN 2 7 2022
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 $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
Name:Carolina Crockett
2 1516 W.Kimberly Ave,Anaheim CA 92802Acidress:
Phone Number:Home (714 )931 -4581 Cell(
APPLICANT INFORMATION:
Adam StewartName:3
Phone Number:Home (801 I 638-0283 Cell(
PROPERTY INFORMATION:
Project Address:1516 W.Kimberly Ave,Anaheim CA 92802
Development Type:(x )Residential -New ()Residential -Room Addition
()Single Family
Project Name:New Detached ADU
4 ()Commercial:
{)Multi-Family Condos/Apartments#of units:
COMMERCIAL:RESIDENTIAL:9^^Total Square Footage:
Multiplied by Current Rate
Total Square Footage:
Multiplied by Current Rate
5 =S Elem.$Elei
H.S.$=S H.S.
Equals ToJal-feetS =$Equals Total Fee:$=S
FEE WAIVER:
6 Fees Waived:()No If yes,reason:Yes
ACKNOWtE EMENT:
The above respresentatrons as to square footage are true,Developer/Applicant agrees that if it is later determined that such respresentations
are not true,Certificate shall automatically terminate and the appropriate City/County shall be notified.
Deveioper/Applicant Signature:
7
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections S3080 and
65995.
8
Reprfe$entative\Anaheim Union High School DistrictDate
ACTUAL FEES PAID:loO Lo9$Check No.
Check No.
9
$Anaheim Union H.S.Dist.7
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
Doc ID:63e83ef3e65258c82101e8a157f38472^.^gf2771