3161 W TYLER AVE (2)1
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Anaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520 V)(�,C) 2-D20 -0,�;]�
(714)999-5454
RECEIVED
CERTIFICATE of COMPLIANCE MAY 16 2022
PAYMENT of SCHOOL FACILITY FEES CITY OF ANAHEIM
NOTICE: The 90-day period in which you may protest the fee described herein will begin on the date this fee is p��ie�/eFrilf4Ren%ewaaosGRTi'^E�
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 $30.00 administrative fee.
RECEIPT NO.:
ELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT:
�E S
Anaheim Union High School District
OWNER INFORMATION:
Name: C
Address: /Pi. t� jGA 7`Fl%)
- - - -
%l�,'1p 31�
Phone Number: Home (�1�) Cell(
APPLICANT INFORMATION:
Name: FyAll(ASGU
Phone Number: Home (Z)q) „)i` 3 ), Cell (714)
PROPERTY INFORMATION:
�" "
ProjectAddress: V✓O � J G�If'1A. AW—.g wtCl�'/1.Y� yK CA O AVI
Development Type: ( ) Residential -New (x) Residential - Room Addition ( ) Commercial:
( ) Single Family ( ) Multi -Family Condos/Apartments # of units:
ProjectName: N 2 2 0 0— 0 rj I Oq
COMMERCIAL:
RESIDENTIAL:
Total Square Footage: Lo
Total Square Footage:
Multiplied by Current Rate
Multiplied by Current Rate
Elem.$gi�y=$ / �✓`�"% �6
Elem.$ _$
.. $ _$
H.S. $a o"=$
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
rmin priate City/County shall be notified.
are not true, Certificate shall automatically teand the1IL'it-L
Developer/Applicant Signature: ScV
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facilityfees in compliance with Government Code Sections 53080 and
65995.
Date Repres tativ -Anaheim Union High School District
ACTUAL FEES PAID: > p
A $ 1. �S`r' Lo0 Check No.
Anaheim Union H.S. Dist. $ /2 -2.5y Lo 6 Check No.
Distribution: Developer/Applicant, AUHSD Accounting Department, Elementary School District Accounting Department