2317 W BROADWAY 1-3, 14, 17, 18,19^2J:)Z2'0Z^Z(^
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Anaheim 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
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 $30.00 administrative fee.
was
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION
Name:tVl IXQ ^
DY\VC^CA2Address:
Phone Number:Home(Cell
INFORMAtlON:
Name:Sawvo3
Phone Number:Home(Cell(
PROPERTY INFORMATION:
Project Address:^3 I ^
Development Type:()Residential -New ()Residential -rt^om Addition {)Commercial:
()Single Family (^/)Multi-Family Condos/Apartments#of
4
units:33
RESIDENTIAL:
Project Name:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
Total Square Footage:
Multiplied by Current Rate
'9^0
%2inZi^-nSoZIoEjx i.=$■^
5 Elem.$=$Elem.$$*3:3 =$H.S.H.S.
Equals Total Fee;$=$Equals Total Fee:$
FEE WAIVER:
Fees Waived:{)Yes6 If yes,reason:No
't'f
■'Air’:
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.7
Developer/Applicant Signature:f i /^
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school efcility fees in compliance with Government Code Sections 53080 and
65995.
8
i.
Date Re>Fe$entati^-Anaheim Union High School District
ACTUAL FEES PAID:
Anaheim Union H.S.Oist.$
/02 Check No.
/j -p 4^/●’S/o Check No.
9 //3:2
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department