639 N JAMES PL BAnaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520
(714)999-5454
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 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.:
JELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT: AN
Anaheim Elementary
Anaheim Union High School District (AUASD)
School District (AESD)
OWNER INFORMATION:
Name: f!9 �t�'Ctt rVl Ig'Q ��la i2-'Si1V 11F1¢ kAru In -
Address: -1AmeC ZJ-4/1'3 Aly, Ys/-w9 C49�l'80/
Phone Number: Home(7/9) _IZJ�o 0 Cell(7/l) .3g?2,2g��
APPLICANT INFORMATION:
Name: tir Ara fir rM Q- S/lyn E%L AC-IL-4
Phone Number: Home (7/y) Cell (7/11) :j!1,*
PROPERTY INFORMATION:
Project Address: 639 N. JAMES PL. #B, ANAHEIM, CA
,
Development Type: ( X) Residential -New ( ) Residential - Room Addition ( ) Commercial:
( )Single Family ( ) Multi -Family Condos/Apartments#ofunits: 1
Project Name: 24-00382 DET ADU
COMMERCIAL:
RESIDENTIAL:
Total Square Footage:
Total Square Footage: 1198
Multiplied by Current Rate
Multiplied by Current Rate
Elem. $ _ $
Elem. $ 2.585 = $ 3. 096.83
$ _$
H.S. $ 2.585 =$ 3,096.83
Equals Tot : $ = $
Equals Total Fee: $ _ $
FEE WAIVER:
Fees Waived: ( ) Yes (X) 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/Applicant Signature:
CERTIFICATION: i(fQ._
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995. /
Date Re esenta 've - Anaheim Union High School District
ACTUAL FEES PAID:
1.Anaheim Elementary -- 0 $ 3,096.83 Check No. 3 /10 33/yy
School District (AESD)
—0 $ 3096.83 Check No.;3/llo
2.Anaheim Union H.S. Dist.
AUHSD
Distribution: Developer/Applicant, AUHSD Accounting Department, Elementary School District Accounting Department