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Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />No. 07805 <br />Developer/Applicant ~Ane] Tvari <br />Address 1-3v4 W ~v-Atnw'l <br />Telephone Number (7 I Y) _'i~1~fc3 __ ---=Z7~'t_.._J..A-__________ _ <br />Project Location Swnie a,,r ~bOVl,, <br />Street Address City ZIP <br />OFFICE usE R\verM \e. <br />Elem. School Int. School <br />,Sbvrfh l <br />High School~ Thomas Map No <br />----------.,4l)IA <br />Numbe;~;-S~~;;~-;;~------------------ <br />of Residential Space l VOO x If>. 17 Total $ 5' /7 0 <br />Number of Square Feet <br />of Commercial and <br />Industrial Space ,,,,--______ x _____ _ Total $ ____ .,,,, __ _ <br />The above representations as to square footage are true. Developer/Applicant agrees that if it is <br />later determined that such representations are not true then this certificate shall automatically <br />terminate and the appropriate City/County shall be notified. <br />Applicant is hereby noticed that any party filing a protest regarding the imposition of fees <br />pursuant to Government Code Section 65995 and Education Code Section 17620 must do so <br />within 90 days from the payment of the fee. <br />Pate <br />----------------------------------------------------------------------------------------------------------------------------- <br />Receipt of Payment <br />This certifies that the above-named Developer/Applicant has paid school facility <br />compliance with Government Code Section 65995 and Education Code Section 17620. <br />These fee have been received from s~ )Ltl--7"Tuk f" lJ{)IA,11 tJ~~ <br />~Vl~O¾,~nd D\t hunJrt J fMn:hJ dnJ w/wb Dollars $ S, 17 0 <br />Cash __ Check ✓ Check No. L 05 Bank vy'i/ ti Fil rg O <br />,(vlrf ~ t\\~L/6 <br />Date Superintendent Designee <br />9703.69. (Rev. 6/14) <br />Garden Grove Unified School District <br />(714) 663-6442 <br />fees in