518 S EAST ST, #BRECEIVED
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Anaheim Union High School District MAY 18 2023
501 Crescent Way, P.O. Box 3520, Anaheim, CA92803-3520 IM
(714)876-3118 PLANNI GfT1'OFgNAHE
& BUILDING DEPARTMENT
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES V-)ill.n7,nrl q - nco3f32
NOTICE: The 90-day period in which you may protest the feed escri bed 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.
RECEIPTNO,:
ELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT:
Anaheim Union High School District
OWNER INFORMATION:
•�tr1 yt�r �
Name: �I �ARAe S (/UO N61
Address: 401-41 TOW,*RP PAI_LIDS <I2. Up, 6iZf11&-.6
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Phone Number: Home ( ) Cell ("H
APPLICANT INFORMATION:
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Name: T Y M&; DUDN L7
Phone Number: Home ( ) Cell (it Y-) ; 1w —
PROPERTY INFORMATION:
Project Address: `J P u C; P7 , kNA I}):1 M g�
Development Type: ( )Residential - New ( )Residential - Room Addition ( )Commercial:
( i Single Family %) Multi -Family Condos/Apartments fl of units:
Project Nam c:._ A LD20 l'q 06 2 ofiii:>u
COMMERCIAL:
RESIDENTIAL: M�
90,
Total Square Footage: --_ _
Total Square Footage:
Muitil iled by Current Rate
El -$_._
Mullipiled by Current Rate r7 (pS
Elem.$W;=$ �T 8.3,�p�
H.S.
H.S. $ ,�• St�ZJ
Equals Total __$
Equals Total Fee: $ _$
FEE WAIVER:
Fees Waived:( ) Yes 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 terminate and the appropriate City/County shall be notified.
Developer/AppII cant Signature:
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995.
/o b E)20,26 — ,�
Date res ntative-Anaheim Union High School District
ACTUAL FEES PAID:
5s D $ /i Z5._e• 00 Check No. 2 33S
Anaheim Union H.S. Dist. $ S.�c=' j) Check No.
Distribution: Developer/Applicant, AUH50 Accounting Department, Elementary School District Accounting Department
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