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CITY OF SANTA ANA <br />Planning and Building Agency <br />Developer/Applicant <br />Garden Grove Unified School District <br />Al <br />Certification of Compliance <br />Payment of School Facility Fees <br />Ur" 8151oved <br />DRANAppr <br />fl�k_,-, <br />FOR PERMIT ISSUANCE <br />Master ID: <br />Bate: <br />-- <br />� <br />Address <br />VV <br />Telephone Number (��l�j 9 01,0� <br />r <br />Project Location <br />Street Address city ZIP <br />OFFICE USEyh(�t/�'V <br />Elem. School Int. SchYol High School IV Thomas Map No - <br />Number of Square Feet <br />of Residential Space <br />Number of Square Feet <br />of Commercial and <br />Industrial Space <br />j t D U 0 __� x 50 1 <br />Total <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 />0 <br />pursuant to Government Code Section 65995 and Education CodyeO.���172ust do so <br />within 90 days from the payment of the fee. <br />2,eO Lam. <br />r Datt Devel o'd r/A00 i cant <br />1p <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 />1f %C <br />Cash Check Check No <br />ate <br />W_--,SfyK^-k, <br />IV <br />Ob Dollars $ S� 1607 0 . V� <br />Bank we �FAk <br />�►�s��.e V4*.a�4n�a' <br />Superintendent Designee <br />Garden Grove Unified School District <br />(714) 663-6442 <br />9703 69* (Rev 6/14) <br />