1358 S HACIENDA ST, Breceived
AUG 2 3 2022
Anaheim 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
»ANWWIMGN MMH KH9A OVmcr.CITY OF ANAHEIMPUNNING&BGILDING 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 period
began at the time your project was approved.Returned checks (NSF)are subject to a $30.00 administrative fee.
HIGH SCHOOL DISTRICT:
Anaheim Union High School District
ELEMENTARY DISTRICT:RECEIPT NO.:
1
OWNER INFORMATION:
Name:Kyla Dang
Address:1358 S.Hacienda St.,Anaheim,CA 928042
cell!Phone Number:Home{
APPLICANT INFORMATION:
Name:Kyla Dang3
488-8718Cell(714 }Phone Number:Home (
PROPERTY INFORMATION:
Project Address:1358 S Hacienda St B,Anaheim,CA 92804
Development Type:(x )Residential -New
(}Single Family
Project Name:BLD2022-Q0164 new construction detached ADU
4 {)Commercial:
()Multi-Family Condos/Apartments #of units:
)Residential -Room Addition
RESIDENTIAL:COMMERCIAL:
Total Square Footage:
Multipiled by Current Rate
Total Square Footage:
Multipiled by Current Rate ds>0Elem.5 =$
H.S.$=s H.S.
=$Equals Total Fee:S=sEqualsTerf^Fee:$
FEE WAIVER:
Fees Waived;{)Yes (yj)6 If yes,reason:No
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
s.
Rep):esentativK:Anaheim Union High School DistrictDate
ACTUAL FEES PAID:
/4>hB $Check No.
Check No.
9
$Anaheim Union H.S.Dist.Q_
Distribution:Developer/Applicant,AUHSO Accounting Department,Elementary School District Accounting Department
2021-2022