Loading...
777 W KATELLA RD. #928Anaheim Union High School District 501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520 (714)999-5454 UNLIMITED 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 $30.00 administrative fee. RECEIPT NO.:ELEMENTARY DISTRICT: ■AUltOD HIGH SCHOOL DISTRICT: Anaheim Union High School District19<?> OWNER INFORMATION: Vy \5<V^W>r\ Name:.| Address2 Phone Number:Home (Cell f?14 )'5Q8.6669- INFORMATI015h Name:-ico APPLICANT 3 a. CelI{-7i‘l)_W^j2D6=5LPhoneNumber:Home ( PROPERTY INFORMATION: Project Address:jjj w Katella Rd.#928 4 Development Type:I 1 Residential -New t 1 Residential -Room Addition I I Single Family [✓I Commercial; I 1 Multi-Family Condos/Apartments U of units: Project Name: COMMERCIAL: Total Square Footage;3qq Multiplied by Current Rate RESIDENTIAL: Total Square Footage: Multiplied by Current Rate H.S.S_ 5 =$=SElem.$ H.S.$.39 =$$117.00 =S =$Equals Total Fee:$.39 =S $117.QQ :S FEE WAIVER: 6 ^yes []No If yes,reason:Fees Waived: 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 termia Developer/Applicant Signature; 7 i^TRe’appropriatiTitV/€©UQty^all be notified. CERTIFICATION: This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Jv^Anaheim Union High School District 8 2-\ RepreS'Date ACTUAL FEES PAID: $Check No. Check No. 9 $Anaheim Union H.S.Dist. Distribution;Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department