1883 W HARRIET LN, BAnaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520 e�
(714)999-5454
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. 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.
RECEIPT NO.:
ELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT:
E5�
Anaheim Union High School District
OWNER INFORMATION:
Name: TRACY TRANG VU
Address: 1883 W HARRIET LN, ANAHEIM, CA 92804
Phone Number: Horne( ) Cell( 714) 331-5176
APPLICANT INFORMATION:
Name: HEATHER VO
Phone Number: Home ( ) Cell ( 714 ) 757-1387
PROPERTY INFORMATION:
Project Address: 1883 W HARRIET LN, ANAHEIM, CA 92804
Development Type: ( X) Residential - N`' ( ) Residential - Room Addition ( ) Commercial:
( ) Single Family ( ) Multi -Family Condos/Apartments # of units:
Project Name: Attached 747 SF ADU
COMMERCIAL:
Total Square Footage:
RESIDENTIAL:
Total Square Footage:
Multiplied by Current Rate
EI = $
Multiplied by Current Rate
H.S. $ _$ _—
Elem. Sa.39.S-_ $
H.S.
Equals Fee: $ _ $
Equals Total Fee: $ _ $
FEE WAIVER:
Fees Waived: ( ) Yes (tIONO 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 terminate and th ppropriate City/County shall be notified.
Developer/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�
Date R ent ive - Ana eim Union High School District
ACTUAL FEES PAID: t� o
a ' 8 a
$ r ! + Check No. O
Anaheim Union H.S. Dist. $ Cy, Check No. i2 9
Distribution: Developer/Applicant, AUHSD Accounting Department, Elementary School District Accounting Department
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