2308 W VALDINA AVE, BV'
Anaheim Union High School DistrictSOICrescentWay,P.o.Box 3520,Anaheim,
1714}999-5454
UNLIMITEDYOU CA 92803-3520
3iD 2-020ORECEIVED
MAY 1 6 2022
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.Q6WeC^r/^RtWdlf^was
imposed by the City or County as a condition of approval for your project,and you have received the requi^i^inp|j^l;^^9]Q-dav;^03£a45Si{SNT
began at the time your project was approved.Returned checks (NSF)are subject to a $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1tiieryiCTWiy
OWNER INFORMATION:
Name
Address
Phone Number:Home ()f /
mcMG ^^
Cell (^l4)'Xg7 -
2
APPLICANT INFORMATION:
frmMb
Phone Number;Home ni-4r )7 i^~'lPh\T
Name:3
Cell (Ti4 )i
PROPERTY INFORMATION:
2-2C>y I/J-\ia\A\m.AV2 {\\MfJnt\fG CAProjectAddress:
Development Type:{)Residential -New (^)Residential -Room Addition
()Single Family
4 ()Commercial:
()Multi-Family Condos/Apartments #of units:
wi'hvj'fa ft /efi-Dajsxo-D5'i qtProjectName:
RESIDENTIAL:COMMERCIAL:
Total Square Footage;
Multiplied by Current Rate
Elerjk<;
^3-V
!.^93.3L>
Total Square Footage:
Multiplied by Current Rate
5 =$Elem.
=$H.S.
Equals Total Fee:$=s●ee;$=SEqualsT(
FEE WAIVER:
6 Fees Waived:()Yes i)No If yes,reason:
ACKNOWLEDGEMENT:
ler/Applicant agrees that if it is later determined that such respresentations
and the ajjplropfiate City/County shall be notified.
The above respresentations as to square footage are true,Oev/
are not true,Certificate shall automatically termii7
i
Developer/Applicant Signature:Z!
CERTIFICATION:
This certifies that the above named Developer/Applicant has paidTchool facility fees in compliance with Government Code Sections 53080 and
■”-Vv8^2
iitatTv^-Anaheim Union High School DistrictDate
ACTUAL FEES PAID:i,^93^L //?r>Check No.
Check No.
$9
5AnaheimUnionH.S.Dist.
Distribution;Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department
am-2022