2785 E VIKING AVE, B■^u:)20^i'0ss^
RECEIVED
JUN 2 8 2022
"●\
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-3520
(714)999-5454
UNLIMITED
CITY OF ANAHEIM
PLANNING &BUILDING DEPARTMENTCERTIFICATEofCOMPLIANCE
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 wasimposedbytheCityorCountyasaconditionofapprovalforyourproject,and you have received the requisite notice,the 90-day protest periodbeganatthetimeyourprojectwasapproved.Returned checks (NSF)are subject to a $30.00 administrative fee.
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District ‘{A1
OWNER INFORMATION:
Name:
Address:
Phone Number:Home (
2
Celin'^f)UoZ-^c.Ol
APPUCANT INFORMATION:
Name:3
Cell 1PhoneNumber:Home (
PROPERTY INFORMATION:
Project Address:^A>A:p
Development Type:{)Residential -Ne^()Residential-Room Addition
()Single Family
Project Name;^
4 {)Commercial:
()Multi-Family Condos/Apartments#of units;
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
RE'SIOENTIAL:
Total Square Footage:
Multiplied by Current Rate
5 Elem.$=$Elem.$
=S H.S.
Equals TotaLFe^TS =$Equals Total Fee:$=$J
FEE WAIVER:
6 Fees Waived:!)Yes (\^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 termii
Developer/Applicant Signature:
7 id the appropriate City/County shall be notified.
^
CERTIFICATION:
This certifies that the above named Oeveloper/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
V-0 \8
2pL\2^t ahelm Union High School DistrictDate
ACTUAL FEES PAID:^»Co LpAfTs>X:^s Check No.
Check No.
9
Anaheim Union H.S.Dist.
Distribution:Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department