637 S ROANNE ST, B%x.'02oU-o\(A'\Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
RECEIVED
JUL 2 2 2022
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
CITY OF ANAHEIM
PLA.NNING &3'JILD'NG 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 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 $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
JONATHAN NGOName:
Address:2 637 S ROANNE ST,ANAHEIM,CA 92804
Phone Number:Home (Cell 1714)651-6032
APPLICANT INFORMATION:
3 Name:HEATHER VO
Phone Number:Home(Cell(714 }757-1387
PROPERTY INFORMATION:
Project Address:637 S ROANNE ST B.ANAHEIM,CA 92804
Development Type:()Residential -New ()Residential -Room Addition
()Single Family
Project Name:NEW DETACHED ADU 741 SF
4 ()Commercial:
()Multi-Family Condos/Apartments#of units:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
\Total Square Footage:
Multiplied by Current Rate /,;z^qL3V
5 do-y
5 Elem^=$
=$
Equals ToJ&J-P6e:$=S Equals Total Fee:$
FEE WAIVER:
Fees Waived:()Yes (6 4 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 ancj^^appropriate City/County shall be notified.
Developer/Applicant Signature:
7
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8
Re^hes^nt^ve -Anaheim Union High School DistrictDate
AaUALFEES PAID:
Anaheim Union H.S.Dist.
Check No.
Check No.
$9 <PO&$i
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
2021-2022