114 N CARLETON AVE, DAnaheim 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
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 $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:Q)Ooo^^LLCName:
Address:2
Cell (qwft)-'^'1PhoneNumber:Home (
APPLICANT INFORMATION:
Name:
Phone Number:Home (
CnncA LLC3
Cell
PROPERTY INFORMATION:
II M M-C(]y\o\o^Project Address:
Development Type:{^Residential -New ()Residential -Room Addition()Single Family
4 ()Commercial:
Multi-Family Condos/Apartments #of units:
Project Name:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
Total Square Footage:
Multipiled by Current Rate
5 Elem.S =S Elem.$_
H.S.S
=S
r $=s =s
Equals Total Feei =s Equals Total Fee:$=s
FEE WAIVER:
Fees Waived:{)Yes6 If yes,reason:No
ACKNOWLEDGEMENT:
The above respresentations as to square footage are true^^^veloper/Applicant agrees that if it is later determined that such respresentations
are not true,Certificate shall automatically terminal
Developer/Applicant Signature:
7 aQ^opriate City/County shall be notified.
CERTIFICATION:
This certifies that the above named Developer/AppJic-anthas paid school faulty f
65995.
Nance wit|yGover.nment Code Sections 53080 andeesin
k8 ££.j 2presentative-Anaheim Union High School DistrictDate
ACTUAL FEES PAID:5^%i AW4^a LsCheckNo.
Check No.
9
a$Anaheim Union H.S.Dist.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
^(Wl