2951 W ROME AVE. Bim-o\\s2-
“I^ECEIVED
AUG 0 3 2022
Anaheim Union High School District
501 Crescent Way,P.O.Box 3520,Anaheim,CA 92803-352
(714)999-5454
UNLIMITED
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
CITY OF ANAHEIM
PLANNING &BUILDING DE°ARtv
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
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 $30.00 administrative fee.
was
RECEIPT NO.:ELEMENTARY DISTRICT:HIGH SCHOOL DISTRICT:
Anaheim Union High School District1
OWNER INFORMATION:
Name:
Address:S 1 Vj ^(iPhoneNumber:Home”^}
STE 6tMO.DH ,A
2
L*
Cell[tZk)A -5^155
APPLICANT INFORMATION:
5T^P ^Cxpi A O hf A3Name:
Phone Number:Home (Cell
PROPERTY INFORMATION:
S )u -A At IProjectAddress:
Development Type:()Residential -New f4)Residential -Room Addition
()Multi-Family Condos/Apartments #of units;
()Commercial:
}Single Family
^.DUProjectName:
COMMERCIAL:
Total Square Footage:
Multiplied by Current Rate
Elerm,.$-::
RESIDENTIAL:
^OOTotalSquareFootage:
Multiplied by Current Rate
Elem.$‘^9 =$5 =S
H.S.$=$
^e:S =$Equals Ti Equals Total Fee:$=$
FEE WAIVER:
Fees Waived:(}Yes (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 th'7 propriate City/County shall be notified.
leveloper/Applicant Signature:
CERTIFICATION:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and
65995.
8
7 ntalive -Anaheim Union mgh School DistrictRepnDate
ACTIIAL FEES PAID:●«.^_/9/qCheckNo.
Check No.9
Anaheim ion H.S.Dist.
Distribution;Developer/Applicant,AUHSD Accounting Department,Elementary School District Accounting Department