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Project Address \ , <br />Name (First, MI, Last) <br />Use of Building (check) <br />Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />Tract/Parcel Number <br />\ \ \ \C\ \l+-\ <br />Telephone <br />Nature of Work <br />Type of Project ( check) <br />Residenti~ Commercial O Senior Housing D Ne~ Addition D Alteration D <br />Description of Project <br />4943 <br />NumberofSquareFeetof4fl'). Sq.Ft x $ (:::.... .'~ <br />Residential Space __ ---=r::1~-~~--v i.:J: <br />(Dev. Fee) <br />Total $~a-~:> <br />Number of Square Feet of <br />Commercial Space _______ Sq.Ft x $ _____ _ Total$ ------ <br />(Dev. Fee) <br />The above representations as to square footage are true. Applicant agrees that if it is later determined that such <br />representations are not true, then this certificate shall automatically terminate, and the appropriate City/County shall be <br />notified. Applicant is hereby noticed that any party filing a protest regarding the imposition of fees pursuant to <br />Government Code Section 53080 must do so within 90 days from the payment of the fee. <br />Applicant Name (Please Print) <br />This certifies that the above-named Applicant has paid school facility fees in compliance with all existing and applicable <br />sections of the Government Code and Education Code. <br />DISTRIBUTION <br />While -City/County <br />Canary -Applicant <br />Pink -Facilities <br />chool m,m;~~~ ~P~::~v) l\ / lZ-/24 <br />Date <br />1525 W Carlton Pl & Unit# 2 - <br />101119148-49 <br />1/9/2025