908 S MANCOS PL (4)Anaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520
(714)999-S454
),1--)000l0
CERTIFICATE of COMPLIANCE
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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 $30.00 administrative fee.
RECEIPT NO.:
ELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT: ICA
Anaheim Elementary
Anaheim Union High School District (AUHSD)
School District (AESD)
OWNER INFORMATION:
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Name: (�,�Q fd( u Sal G -z4 r
Address: 0?3 Rn L C . GYLOL
Phone Number: Home( ) Cell(li-J) Pik- 7701
APPLICANT INFORMATION:
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Name: C l�r 7_6
Phone Number: Home ( ) Cell (114) �4I 7 7!
PROPERTY INFORMATION:
Project Address: 908 S. MANCOS PL. , B. ANMMIM, CA
Development Type: ( S ) Residential -New ( ) Residential - Room Addition ( ) Commercial:
( ) Single Family ( ) Mufti -Family Condos/Apartments q of units:
Project Name: ATT GC ADQ BLD2024-00006
COMMERCIAL:
RESIDENTIAL:
Total Square Footage:
Total Square Footage: 573
Multiplied by Current Rate
Multiplied by Current Rate
Elem.$ =$
Elem.$ 2.585=$ $1,481.21
H.S. $ 2.585 =$ $1,481.21
Equals To :$ _$
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 noted.
Developer/Applicant Signature:
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facilityfees in compliance with Government Code Sections 53050 and
65995.
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Date resen tive - Anaheim Union High School District
ACTUAL FEES PAID:
1.Anaheim Elementary 0 $1,481.21 Check No. 0S&)27 ae9CP12
School District (AESD) ___0 $1,481.21
2.Anaheim onion R.S. Dist. Check No. n,J�'d �093
ADBSD
Distribution: Developer/Applicant, AUHSD Accounting Department, Elementary School District Accounting Department