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CITY OF SANTA ANA <br />Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />Planning and Building Agency <br />Approved lb <br />FOR PERMIT 7CE <br />Name (First, MI, Last) <br />Telephone <br />Project Address <br />NVY74> <br />K- <br />Tract/Parcel Number <br />City,State,. Zip Code <br />NO <br />Name (First, MI, Last) <br />Telephone <br />Use of Building (check) <br />ResidentiajQ Commercial ❑ Senior Housing ❑ <br />Type of Project (check) <br />Ne Addition ❑ Alteration ❑ <br />Description of Project <br />ec UC - <br />Number of Square Feet of (^� <br />Residential Space fCA Sq.Ft x $ •� �I <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space <br />Sq.Ft x $ <br />(Dev. Fee) <br />LEI <br />Total $ <br />Total $ <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. -n .— low <br />NVOM't 0MVIle, ?J -,ZD <br />Applicant Name (Please r t) D to <br />y <br />N' <br />This certifies that the above -named Applicant has paid school facility fees in compliance with all existing and applicable <br />sections of the Government Code and Education Code. <br />JXW 0- X�A �' �� � (/V V � (11 Vi 0 t3 h 1 ,�5- <br />Santa A a Unifie chool District Authorized Representative Date <br />DISTRIBUTION <br />White - City/County <br />Canary - Applicant <br />Pink - Facilities <br />