2602 E VIRGINIA AVE (7)Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
RECEIVED
JUL 1 3 2022
Iks
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES CITY OF ANAHEIM
NOTICE:The 90-day period in which you may protest the fee described herein will begin on the date this fee^paid ftoweven 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 $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District
OWNER INFORMATION:^Name:c(<^O V 0^7 r>
A'Idress:_^CO ?£AYfl .
Phone Number:Home )3>0 C —^7^'2.
2 ;
ceii {7/^)59^—-33 3 2
APPUCANT INFORMATION:
Name:
Phone Number:—^'7 C,'7
n do)oAprt!3
Cell (7/^1 ^
PROPERTY INFORMATION:
Project Address:^^QjC>
Deveiopment Type:()Residentiai -New (HRe
()Singie Famiiy
7 K Q!HP aiVdentiai-Room Addition4 ()Commerciai;
()Muiti-Famiiy Condos/Apartments #of units:
Project Name;
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate,...''^
RESIDENTIAL:
^\QTotalSquareFootage:
Multiplied by Curj’ent Rate
quals Total Fee;$
H.S.=S
=$J
5 E!em.$_
H.S.$
=$=$
=$4EquaJs4otalFee:$=$
FEE WAIVER:
^Fees Waived:{)Yes No If yes,reason:
^kN0WLE06EMENT:L
The above respresentations as to square footage are true,Oeveloper/Applicant agrees that if it is later determined that such respresentations
'are not true,Certificate shall automatically tenr^ate and the appropriate CiWCounty shall be notified.
Developer/Applicant Signature:fppi4J3ti/P^O
CERTIFICATION:
This certifies that the above named Developer/Appiicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995
8
^2^re^tetlatetive -Anaheim Union High School District
ACTUAL FEES PAID:
9
Anaheim Union H.S.DIst.
dlLCheckNo.
Check No.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department