2863 W BALL RD, 103B^uPZd2\'
RECEIVED
JUL 1 9 2022
Anaheim Union High Schooi District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
CITY OF ANAHEIM
PLANNING &BUILD’NG OEPARTMEN’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 $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
1 hJ I
Phone Number:Homet7(1^1 ^'
Name;
Address;2
Cell(
APPLICANT INFORMATION:
Name:fhu4^i>c.3
Celk^)Phone Number;Home(
PROPERTY INFORMATION:
Project Address:03 CA -
Development Type:()Residential -New ()Residential -Room Addition
()Single Family
4 )Commercial:
(Y^)Multi-Family Condos/Apartments #of units:J
Project Name:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
Total Square Footage:
Multiplied by Current Rate I1T25Elem.$=s Elem.S
H.S.
=s
=sH.:
=s Equals Total Fee:$Equals Total =$
pEf WAIVER:
Fees Waived:{)Yes6 If yes,reason:No
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:lioLL^P iby
1
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8 ^\A
,epreseht5tive -Anaheim Uniori High School DistrictDate
ACTUAL FEES PAID:^^
Anaheim Union H.S.Dist.$),.?rr>
Check No.
Check No.
9
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary Schooi District Accounting Department