4715 E. Maychelle Dr.
.
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES
ORANGE UNIFIED SCHOOL DISTRICT
726 W. Collins, Orange, CA 92867
(714) 628-4500
Developer/Applicant Name:
Address:
Karen Goodman & Kerry Freeman
4715 Maychelle lane
Anaheim, CA 92807
Phone: 714-921-3030
Owner Name:
Address:
Same
Phone:
Address/location:
Type of Project:
lot #:
Tentative Tract #:
No. of Dwelling Units:
Same
addition
APN#:
[gJ Single Family
o Multi Family/Condos/Apt.
Total Square Footage:
Multiplied by Applicable Fee:
Other:
813 sq. ft.
$2.24
Applicable Fee level: [gJ 1 0 2 03 0 4
Total School Facility Fees: $1,821.12
Total School Facility Fees:
Total Square Footage:
Multiplied by Applicable Fee:
$0.36
Total School Facility Fees:
[gJ NO 0 YES
REASON:
The above representations as to square footage are true and correct. Developer! Applicant agrees that if it is
later determined that such representatio not true, the this Certificate of Compliance shall automatically
terminate and the appropriate City/ unty, s II be noti' d.
Developer/ Applicant Signature: I
This certifies that the above named Developer/ Applicant has paid school facility fees in compliance with
Education Code Section 17620 et. seq. an ernment Code Section 65995 et. seq.
Date: June 14, 2005
Name:
Title: Administrative Secretary
NOTICE: The 90-day period in which you may protest e tee scribed 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 by the City or County.
certificate of compliance
Rev.02-24-04