832 S VERONA ST (6)1
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Anaheim Union High School District v21.`b(el�ib(e/
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-U2Q
(714) 999-5454 RECEIVED
AUG 16 2023
CERTIFICATE of COMPLIANCE CITY OFANAHEIM
PAYMENT Of SCHOOL FACILITY FLSSMING&BUILDING 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:
J:,
Anaheim Union High School District (i1A
OWNER INFORMATION:
Name: NHUQIJYNH THI NGiTYF:N
Address: 832 S VERONA ST . ANAHEIM. CA 92804
Phone Number. Home (714) 740-5322 Cell (714) 889-9642 _
APPLICANT INFORMATION:
Name: NHU UYNH THJ NGtjYF.N
Phone Number: Home (714 ) 740-5322 Cell (714) 889-9642
PROPERTY INFORMATION:
Project Address: 832 S VERONA ST. ANAHEIM, CA 92804
Development Type: ( ) Residential -New ( jU Residential - Room Addition ( ) Commercial:
( ) Single Family ( ) Multi -Family Condos/Apartments ft of units:
Project Name: BLD2023-02186 & 02187
COMMERCIAL:
RESIDENTIAL:
Total Square Footage:
Total Square Footage:
Multiplied by Current Rate
Multipiled by Current Rate /
/'
Elem. _ $
Elem. $ $ ( �/62.'3.2,
.S. $ =$
H.S. ✓�--$�rS9 .��
Equals To ee: $ _ $
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/Coun a be notified.
Developer/Applicant Signature
CERTIFICATION:
4compliance
This certifies that the above named Developer/A plicant has paid school facility fees with Government Code Sections 53080 and
65995.
V �3 l
Date Re re tati -Anaheim Union High School District
ACTUAL FEES PAID: , P�.3� Check No.
Anaheim Union H.S. Dist. $ S �. ZS1..e Check No. _ ��� 7
Distribution: Developer/Applicant, AUHSD Accounting Department, Elementary School District Accounting Department
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