1020 N EUCLID ST (4)WlOZ2-OCfM'=)
RECEIVED
JUL I 3 2022
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
wtfMM ie»«&CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
CITY OF ANAHEIM
PLANNING &BUILDING DEPARTMENT
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 $30.00 administrative fee.
was
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District M1
OWNER INFORMATION:
Name:S/fA/^OO CiVi ^UPmLmfiV
Address:S\}(Ly OXL
Phone Number;Home (5'L.h “^
2 Cy<\+
Cell(
APPLICANT INFORMATION:
Name:3
PhoneNumber:Homer7>Y CeWilN)
PROPERTY INFORMATION:
Project Address:lo:io M,Eociao s-t ^ZSQ\
Development Type:()Residential -New ()Residential -Room Addition
()Single Family
4 Commercial:
()Multi-Family Condos/Apartments #of units:
Project Name:C\TH
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
^ds3—Total Square Footage:
Multiplied by Current Rate
5 Elem =SEJ
H.S.S =$H.S,
Equals Total Fee:$=$=ee:$=SEqualsTi
FEE WAIVER:
Fees Waived:()Yes6 )No 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 terminaj^nd^e appropriate City/Count^7 be notified.
Developer/Applicant Signatured
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8
RepresentatTye^^aheim Union High School DistrictDate
ACTUAL FEES PAID:
Check No.
Check No.9 $Anaheim Union H.S.Dist.
Distribution:DeveloperMpplicant,AUHSD Accounting Department,Elementary School District Accounting Department
/H iViLf,,(2 (\C-\G-CXm 2021-2012