935 S CAPLAN ST BAnaheim Union High School District — 501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803 3520 t XZa=_0 L /�l0
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 was
imposed by the City or County as a condition of approval for your project, and you have received the requisite notice, the 9D-day protest period
began at the time your project was approved. Returned checks (NSF) are subject to a $30.00 administrative fee.
RECEIPT NO.:
JELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT: LO
Anaheim Elementary
Anaheim Union High School District (AUBSD)
School District (AESD)
OWNER INFORMATION:
Name:
Address:
Phone Number: Home ( ) Cell ( J
APPLICANT INFORMATION:
Name:
Phone Number: Home ( ) Cell ( )
PROPERTY INFORMATION:
Project Address: 935 S . CAPLAN ST . r #B r ANAHEIM, CA
Development Type: ( X) Residential -New ( ) Residential - Room Addition ( ) Commercial:
( ) Single Family ( ) Multi -Family Condos/Apartments # of units: 1
Project Name: 24-01067 ATT EXSISTING INT. ADU CONVERSION
COMMERCIAL:
RESIDENTIAL:
Total Square Footage:
Total Square Footage: 594
Multiplied by Current Rate
Multipiled by Current Rate
Elem. $ _ $
Elem. $ = $
.. $ =$
H.S. $ _-
Equals Tot : $ _ $
Equals Total Fee: $ _ $
FEE WAIVER: CLIENT IS CONVERTING LIVABLE SPACE
Fees Waived: (x ) Yes ( ) No If yes, reason: TO A 2ND UNIT #B, AN ATT. ADU
ACKNOWLEDGEMENT:
The above respresentations as to square footage are true, Developer/Applicant agrees that if it is later determined that such respresentations
are nottrue, Certificate shall automatically terminate and the appropriate City/County shall be notified.
Developer/Applicant Signature:
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53050 and
65995.
of -3
Date Repres tative - Anaheim Union High School District
ACTUAL FEES PAID:
1.Anaheim Elementary - 0 $ 00 Check No.
School District (AESD)
$ OD
—.
2.Anaheim Union R.S. Dist. Check NO,
AURSD
Distribution: Developer/Applicant, AUHSD Accounting Department, Elementary School District Accounting Department