202 S CORNER ST CAnaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520
(714)999-5454
CERTIFICATE of COMPLIANCE f!A.-DZ02q-0359-7
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: SA
Magnolia School Dist.
Anaheim Union High School District (AUHSD)
(MSD)
OWNER INFORMATION:
Name: 1�-yy�l ,�—A.�
Address: 7,o2_ S Catt+,F2Slf— Si f4gyiECf&�;,m r1'A
N�61)honeNumber:
Home(Qc-L) 81A 76Li Cell( )
APPLICANT INFORMATION:
J('
Name: 4L�a ,., TAC.ai(L
Phone Number: Home (&f2-) $2_9 76L-7 Cell ( )
PROPERTY INFORMATION:
Project Address: 202 S. CORNER ST.,#C ANAHEIM
Development Type: ( X ) Residential - New ( ) Residential - Room Addition ( ) Commercial:
( ) Single Family ( ) Multi -Family Condos/Apartments # of units:
Project Name: 2024-03597 ATT 2ND STORY ADU
COMMERCIAL:
RESIDENTIAL:
Total Square Footage:
Total Square Footage: 396
Multiplied by Current Rate
Multipiled by Current Rate
Elem. $ = $
Elem. $ 2.585 = $ 1,023.66
$ _$
H.S. $ 2.585 =$ 1,023.66
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/A licant agrees that if it is later determined that such respresentations
are not true, Certificate shall automatically terminate and the approp is e City/County shall be notified.
Developer/Applicant Signature: -
CERTIFICATION: r
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
Date rese ative - Anaheim Union High School District
ACTUAL FEES PAID:
1.Nagnolia School District (XSD) $ 1, 023. 66 Check No.;? L00 y �3y,�
/g/Jero /
2.Anaheim Union H.S. Dist. (AUHSD) �� $ 1,023.66 Check No.,�Loo y/ 7 17 Lo
Distribution: Developer/Applicant, AUHSD Accounting Department, Elementary School District Accounting Department