Laserfiche WebLink
CITY OF SANTA ANA <br />PlNO g n� Building Agency <br />Garden Grove Unified School District `t4 <br />Certification of Compliance Approved <br />Payment of School Facility Fees FOR PERMIT ISSUANCE <br />Developer/Applicant h Lt viaster ID: <br />Date: <br />Address S r t' <br />Telephone Number o) y) <br />Project Location J h f' (CS a �(7✓Z' <br />Street Address City ZIP <br />OFFICE USE n-` [,t1 QaI h � <br />lem. School Int. School High School Thomas Map No. <br />--------------------------------------1J 41 IL1-------------------------------------------------------------------- ----- <br />Number of Square Feet � of Residential Space �ti X Total $ k" <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 />Date Developer/Applicant <br />Receipt of Payment <br />This certifies that the above -named Developer/Applicant has paid school facility fees in <br />compliance with Government Code Section 65995 and Education Code Section 17620. <br />These fee have been received from <br />Dollars $ <br />Check No. Bank <br />Superintendent Designee <br />Garden Grove Unified School District <br />(714) 663-6442 <br />9703.69" (Rev. 6/14) <br />