3431 W THORNTON AVE (3)Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
6LOZ07i-6qgS2
received
APR 2 5 2022
UNLIMITED
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES CITY OF ANAHEIMg.null niHC department
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 periodbeganatthetimeyourprojectwasapproved.Returned checks (NSF)are subject to a $30.00 administrative fee.
RECEIPT NO.;ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1 lOf
OWNER INFORMATION:
Name:
Address:
Phone Number:Home (
\M ■ThoYn-irfiA A\J-P
i-U Pv-2
APPLICANT INFORMATION;
3 Name;
Phone Number:Home {Cell(
PROPERTY INFORMATION;
34.^1 HJ.7ho,rn4 QnProjectAddress:
Development Type:()Residential -New ()Residential -Room Addition
()Single Family
Project Name:A (,■(/
4 ()Commercial;
()Multi-Family Condos/Apartments#of units:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RESIDENTIAL:
Total Square Footage:
Multiplied by Current Rate
5 Elenr =$Elem.$
H.S.$=$H.S.$=$
●ee:$Equals Ti =$Equals Total Fee:$
FEE WAIVER:
^Fees Waived:()Yes No If yes,reason:
acknowledgement/
The above respresentations as to square footage are true,Oeveloper/Applicant agrees that if it is later determined that such respresentations'ar^not true.Certificate shall automatically terminate and the appropriate City^County shall be notified.
eveloper/Applicant Signature:y
,1 /
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8
\\ Repr^O^tive -Anaheim Union ^igh School DistrictDate
ACTUAL FEES PAID:.
9 ^$Check No.
Check No.S /..PPV-^Anaheim Union H.S.Dist.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department