501 N VINE ST (2)Anaheim 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.: ELEMENTARY DISTRICT: HIGH SCHOOL DISTRICT:
Z_��70 I--- S Anaheim Union High School District
Name:
Address: py 5 t
Phone Number: Home (-71'() Cell ( )
INFORMATION:
Name: l.iuh4c eqI
Phone Number: Home (dry ) 5 S S' - 9i &C,
Cell (
Project Address: ;z \ ,1,. , k S k �- weAWo
Development Type: ( ) Residential -New ( ) Residential - Room Addition ( ) Commercial:
( x) Single Family ( ) Multi -Family Condos/Apartments # of units:
Project Name: C n _ o
Total Square Footage: Total Square Footage:
led by Current Rate Multipiled by Current Rate
Elem.
.S. $ $ H.S. $_-;23S=$
.vrai ree: = $ Equals Total Fee: $ = $
WAIVER:
Waived: ( ) Yes (� ,,j No If yes, reason:
above respresentations as to square footage are true, Developer/Applicant agrees that if it is later determined that such respresentations
not true, Certificate shall automatically terminate and the appropriate City/County shall be notified.
Signature:
certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
15.
Uate Representative-e)knaheim Union High School District
ACTUAL FEES PAID:
A F_ S't� $ Check No. / 33
Anaheim Union H.S. Dist. $ J, 3 Los. / Check No.
you �uuum r. ueveloper/AppllcanT, AUMIJ Accounting Department, Elementary School District Accounting Department
CI-Y OF ANAHEIM PLANNING DEPARTMENT
BUILDING DIVISION SCHOOL FEE FORM
Customer Information:
Name of Applicant/Owner: Carlos Perez
Contact Phone Number: 71 4-595-2591
Project Information:
Project Address: 501 N. Vine St #B
Plan Check Number: BLD2020-04848
Development Type:
Residential Single Family
Square Feet of Living Space = 57 (Additional Deuced Garzge Conveslan 8 AddiLon !o ADU 570
)
Residential Single Family
Square Feet of Living Space = (Additional Notes: )
Commercial
Square Feet = (Additional Notes: )
School District Information
Please contact the following School District office:
*Anaheim Union High School District: 501 N. Crescent Way, Anaheim, CA 92801 - (714) 999-5454
• for AUHSDemad: hauck_1@auhsd.us
*Orange Unified School District: 1401 N. Handy Street; Bldg. F, Orange, 92867 -(714) 628-5371
*Placentia School District: 1301 E. Orangethorpe Avenue, Placentia, 92870 - (714) 986-7000
*Garden Grove Unified School District: 11700 Knott Avenue; Bldg. C, Garden Grove 92841- (714) 663-6442
*Return payment receipt or waiver to the City of Anaheim Building Division*
Date: 2/27/23 City Employee: W. Menendez