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Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />-. • · -• '1-lii_; •·•• . .1.,.,,-•• I <br />Bu~~d,Hig Owner <br />Telephone <br />49861 <br />• t, MI, Last) <br />-~~U-L <br />te, Zip Code <br />Name (First, MI, Last) Telephone <br />Use of Building ( check) Type of Project ( check) <br />Residential D Commercial D Senior Housing D New D Addition D Alteration D <br />Description of Project <br />Number of Square Feet ~,Jn f\~ ~ <br />1 <br />\' <br />Residential Space ~½ .O' ~q.Ft x $_(:)=---· 7' __ _ <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space _______ Sq.Ft x $ _____ _ Total$ ------(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 />fik r10 1 z_r;- <br />Date <br />Signatur <br />This certifies that the above-named Applican_t has paid school facility fees in compliance with all existing and applicable <br />sections of the Governm t Code and Education Code. <br />DISTRIBUTION <br />White -City/Coun1y <br />Canary -Applicant <br />Pink -Facilities <br />ICAV\n~) <br />ool District Authorized Representative <br />\. l 1.2c:;- <br />Date <br />522 S Rosewood Ave & 1127 <br />W Bishop St <br />4/29/2025