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CITY OF SANTA ANA <br />Planning and Building Agency <br />Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />Developer/Applicant Ua o Trml- <br />Address 2 Z Cl b <br />Telephone Number c/ / 7 <br />Project Location <br />Street <br />Address,, <br />OFFICE USE 4&4" <br />Elem. School Int Ach! <br />O. 84roved <br />FOR PERMIT ISSUANCE <br />11 T S. S L L aster ID: <br />>etif 1&j Aj,� 4.7 <br />city <br />High School <br />ZIP <br />rhomas Map No <br />--------------------------- <br />Number of Square Feet U <br />of Residential Space ! X Total $ 3 U <br />Number of Square Feet <br />of Commercial and <br />Industrial Space <br />X <br />i <br />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 />11 l 71 <br />z <br />Nate Devel K IApptfc—ant <br />----------------------------------------------------------------------------------------------------------- <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'(�OriJUA_ <br />655995 and Education Code Section 17620. <br />onJ <br />These fee have been received from 1 l <br />rkTAl (f w �� Aa�u��`dollars $ <br />Cash Check '---Check No. � Ban � �y <br />Dat Superintend esignee <br />Garden Grove UP(fi School District <br />(714�663-6442 <br />9703.69' (Rev. 6/14) <br />