902 S BIRCHLEAF DR BAnaheim Union High School District C3W202 - 532
S01 Clement Way, P 0 Box 3520, Anaheim, CA 92803-350
(714) 999 5454
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
NOTICIS Ill The 90 dos period in si ynu may protest the fee described herein will begm on the date this fee Is paid However, if the fee was imposed by the City nr
Counts as a condition of approval tot Vol, prolrct. and you have received the requisite notice, the 90-day protest period began at the time your protect was approved IA
returned check (NSF) is subject to a $30.00 administrative fee); (2) you have the right to request an audit of Developer Fees per Gov Code § 66023. (3) you
have the right to trio a written request for mailed notice of the Dislnct's Board meeting to review the Developer Fees Annual Report; and (4) The Developer Fees Annual
Report and .uppertmg documents are available at hittls.//www.auhsd us/Drslnct Dc aro tmenL14195 Facilities
RECEIPT NO.:
ELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT:
f
(1J
Magnolia School Diet.
Anaheim Union High School District 14A
(MSD)
OWNER INFORMATION:
Name: k ELLy NGU4E r R0G9ZT I-6 A-t L
Address:
Phone Number: Home( ) Cell (11-1) 2b I — S2-2 1
APPLICANT INFORMATION:
Name: Kil N6urtt_j R�i3�P1 H.:'-NL
Phone Number: Home( ) Cell ('1 h{) Zb I - S 2-1 1
PROPERTY INFORMATION:
Project Address: 902 S. BIRCHLEAF DR., 18, ANAHEIM
Development Type: (X ) Residential -New ( ) Room Addition ( ) Commercial:
( ) Single Family Multi -Family Condos/Apartments # of units:
Project Name: 24-05452 ATT GC ADU
COMMERCIAL:
RESIDENTIAL:
Total Square Footage:
Total Square Footage: 700
Multlpiled by Current Rate
Multiplied by Current Rate
Elem. $ = $
Elem. $ 2.585 = $ 1,809.50
H.S. 5 2.585 =$ 1,809.50
Equals Iota :5 =5
Equals Total Fee: 5 =$ �b1�1 L
FEE WAIVER:
Fees Waived: ( ) Yes (X)NO If yes, reason:
ACKNOWLEDGEMENTS:
The above respresentations as to square footage are true, Develper/Applicant agrees that if it is later determined that such
respresentations are not true, Certificate shall automaticall to and the appropriate City Count s all be notified.
Developer/Applicant Signature:
CERTIFICATION:
This certifies that the above named Develper/Applicant has paid school acility fees in compliane with Government Code Sections
53080 and 665995.
- \ )- 1�?_=,- .=
Date ��pre ntative - Anaheim Union High School District
ACTUAL FEES PAID: j(, 2-7 00 10-7 3
t.Nagnolis School District (MSD) $ 1,809.50 Check No.
2.Anaheim Union e. A. Dist. (AUBBD)$ 1,809.50 Check No. 3LirL')oo( �-7Z