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Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unjfied School District <br />Building Owner <br />3522 <br />Name (First, MI, Last)Telephone <br />1 rE C A-<A ll 4 C r-4 Z.(7/ u) 6-21/0 _ 206-- <br />Project Address Tract/Parcel Number <br />2 £-AD |' «Av#vu,0, <br />1-Mat & 9270/ <br />Contactor/Architect/Engineer <br />Name (First, ·MI, Last)Telephone <br />Nature of Work <br />Use of Building (check)Type of Project (check) <br />Residential [8/Gmmercial m Senior Housing El New Addition [3-'Alteration U <br />Description of Project <br />2 8 Ht *00,5 <br />Number of Square Feet of <br />Residential Space 571 Sq.Ft x $ 3,56 Total $1#1 *6144 <br />(Dev. Fee) <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 />9- 1-7 - f 9 <br />Applicant Name (Please Print)Date <br />11,6- c.00"- <br />Signature <br />This certifies that the above-named Applicant has paid school facility fees in compliance with all existing and applicable <br />sections ofthe Government Code and Education Code. <br />Santa Ana hool District Authorized Representative <br />/27 <br />Date / <br />DISTRIBUTION <br />;Fhite -City/County <br />Canary - Applicant , <br />Pink - Facilities