2304 E VIRGINIA AVE (2)Anaheim Union High Schoof 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-dav 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 SO-day protest period
began at the time your project was approved.Returned checks (NW)are subject to a $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
Name:Minh Tran
Address:2304 East Virginia Ave,Anaheim,CA 928062
Cell 1310 j 634 -5546PhoneNumber:Home(
APPLICANT INFORMATION:
Name:Kang Nguyen
Phone Number:Home (949)989-1991
3
Cell (949)992-8439
PROPERTY INFORMATION:
2304 East Virginia Ave,Anaheim,CA 92806ProjectAddress:
Development Type:()Residential -New (}Residential -Room Addition4 ()Commercial:
()Multi-Family Condos/Apartments #of units:(X )Single Family
Project Name;2304 E Virginia
COMMERQAL:
Total Square Footage:
Multiplied by Current Rate
ESIDENTIAL:222TotalSquareFootage:
Multiplied by Current Rate
5 Elem.$Elem.$
$H.S
Equals Total Fee:$=$Equals To^
FEE WAIVER:
Fees Waived:{)Yes6 )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 notified.
Developer/Applicant Signature;
7
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995..
8
Represent^ve -Anaheim Union High School DistrictDate
ACTUAL FEES PAID:
Check No.
Check No.
9
$Anaheim Union H.S.Dist.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
3)21-2022