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Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />CITY OF SANTA AN <br />Planning and Building Agency <br />Appro#end ) <br />FOR PERMIT ISSUANCE <br />Vam • t V irst. W. La-,t 1 Date <br />Ak9 1(2e-- 4--- <br />1 clrhh►t�r <br />Ptd�-t Address <br />\� ` rt ! 3 t. pane l Number <br />C i , Statc, hp Cade <br />Nang (First. N11, I .,tst ) <br />Use of Building (check) <br />RcsidcntiaPX Conimcrcial ❑ <br />M%4j1pbolt of F'ntjcct <br />Tcicphonc <br />T%pc of Project (check) <br />Senior Housing ❑ I Nc«,D( Addition ❑ Alteration ❑ <br />\umtwt of Square Feet of � <br />Itesidentral Space LA ` Sy.F1 x S �• ��_ <br />utnber of Sgtwe Feet of <br />c.oa n ercial Space Sq. Ft s S <br />(Dew Fee) <br />Total S-ao—'+I. \::k <br />Total S <br />The above representattoru as to square footage arc true Applicant agrees that if it is Inter determined that wch <br />representations arc not true. then this certift"te shall automatically to minatc, and the appmopriate CityXottnty shall he <br />notified. Applicant it here?,% noticed that an% party filing a protest rtgsrding the im"ition of foes punwant it) <br />Government Code Swiion 53080 must do so within 90 days from the payment of the foe <br />RUE WMZ-1010 <br />Applicant .Nano ie Point) Date <br />.Sign r <br />This ccrtitie% [fiat the alx e•named Applicant hat paid schmil factltt, fees in ctxitipliatxc v►ith all extstang and :applicable <br />scitions of the Government C and Education Codc <br />Snots Ana Uni Sc hao strict Xu huriucd Reprewntsli%c Wee <br />uvsnveGUA <br />*A* - <br />C~7 • ,y'il ww <br />Fart - Fa do" <br />