735 N BUSH ST BAnaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-350
(714)999-5454
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
NOTICES: (1) 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 check (NSF) are subject to a $30.00 administrative fee. (2) you have the right to request an audit per Gov. Code § 66023; and (3) You have the right to
file a written request for mailed notice of the district's Board meeting to review the annual report; (4) The Annual Report and supporting documents are available at:
https://www.auhsd.us/District/Department/14195-Fatilities.
RECEIPT NO.:
ELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT:
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Anaheim Elementary
Anaheim Union Hi h School District AN
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School District
OWNER INFORMATION: II
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Name: �� 1�trlo - ctr-I11 l
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Address: -L-3 fi Al QaLl5w S_Zi R7\o- K e I `KX CA q2$62;
Phone Number: Home( ) Cell (7/�) 97 �
APPLICANT INFORMATION:
Name: ol..,v—p_ 0`J ANOC--3�
Phone Number: Home( ) Cell ( )
PROPERTY INFORMATION:
Project Address: 735 N. BUSH ST. ,#B, ANAHEIM
Development Type: ( X) Residential -New ( ) Room Addition ( ) Commercial:
( )Single Family Multi -Family Condos/Apartments#of units:
Project Name: 2024-04454 DET GC ADU
COMMERCIAL:
RESIDENTIAL:
Total Square Footage:
Total Square Footage: 366
Multiplied by Current Rate
Multiplied by Current Rate
Elem. $ _ $
Elem. $ 2.585 = $ 946.11
$ _ $
H.S. $ 2.585 = $ 946.11
Equals Tot : $ _ $
Equals Total Fee: $ _ $
FEE WAIVER:
Fees Waived: ( ) Yes (X) No If yes, reason:
ACKNOWLEDGEMENTS:
The above respresentations as to square footage are true, Devel er/Applicant agrees that if it is later determined that such
respresentations are not true, Certificate shall auto terminate and the appropriate City/County shall be notified.
Developer/ApplicantSignature: 2'/(. -2ox-
CERTIFICATION:
This certifies that the above named Develper/Applicant has paid school facility fees in compliane with Government Code Sections
53080 and 65995.
2
Date R es tative - Anaheim Union High School District
ACTUAL FEES PAID:
1.Anaheim Elementary_ $ 946. 11 Check No. OSOVV 3/0 ��d
School District (AESD) 946.11 ,y p�
2. Anaheim Union H.S. Dist ---*$ Check No./cjr2%,314/
AUHSD
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