626 S PHILADELPHIA ST BAnaheim Union High School District aV ZoZ3-O(Dq5
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 9D-day protest period began at the time your project was approved (A
returned check (NSF) is subject to a $30.00 administrative fee); {2) you have the right to request an audit of Developer Fees per Gov. Code § 66023; (3) You
have the right to file a written request for mailed notice of the District's Board meeting to review the Developer Fees Annual Report; and (4) The Developer Fees Annual
Report and supporting documents are available at: https:liwww.auhsd.us/District/Depa Iment/UM-Facilities.
RECEIPT NO.:
ELEMENTARY DISTRICT:
HIGH SCHOOL DISTRICT:
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Anaheim Elementary
Anaheim Union High School District
-
School District
OWNER INFORMATION:
... .._ ... Name: / \\SCI ��., CVevc-\s %Gil2ul�ZL
/t Address: \ oc)t(,'k4> iCA
Phone Number: Home (' ) Cell (3/L+) :. 5 , 361-17
APPLICANT INFORMATION:
C G
v C O,S oil
Name: �-'��S'lF1 V 7eZ
Phone Number: Home( ) Cell (7/�/) i .i- s 3( / /
PROPERTY INFORMATION:
Project Address: 626 S. PHILADELPHIA ST., UNIT B, ANAHEIM_
Development Type: (X ) Residential -New ( 1 Room Addition ( ) Commercial:
( ) Single Family Multi -Family Condos/Apartments # of units:
Project Name: 2023-06475 DET GC ADU's
COMMERCIAL: RESIDENTIAL:
588
Total Square Footage: Total Square Footage:
Multiplied by Current Rate Multiplied by Current Rate
Elem.$ _$ Elem.$ 2.585=$ 1,519.98__
_
H.S. $__2.585=$ 1,519.98
Equals Tota = $ Equals Total Fee: $ = $
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 automatically ter _nate and the appropriate City/County shall be notified.
Developer/Applicant Signature: - - —
CERTIFICATION:
This certifies that the above named Develper/Applicant has paid school facility fees in compiiane with Government Code Sections
53080 and 65995.
Date Rep senta ive -Anaheim Union High School District
ACTUAL FEES PAID:
.Anaheim Elementary gp yy S
$ 1,519.98 Check No.
School District (AESD)
2.Anaheim Union H.S. Diet. $ 1,519.98 Check No. �v2�O•y'y 3 id
(AUHSD)
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