Laserfiche WebLink
CITY OF SANTA ANA <br />Sp�TA .4 <br />cm <br />�®sCH00���5�� <br />Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />Planning and Building Agency <br />5214- <br />Approved <br />&OR PERMIT ISSUANC <br />i i 1g wher-...F <br />--- <br />Name (First, MI, Last) <br />y- <br />Sfe' eCn CICTC: <br />Telephone <br />'114 <br />Master ID: <br />&, 4 - 258 -➢ <br />Project Address <br />212 C W.Dah I Ln <br />Tract/Parcel <br />City, State, Zip Code <br />anin A L'�fX- , CA 9 Z T (.', 4 <br />i 1 <br />Name (First, Ml, Last) <br />Telephone <br />n <br />- <br />Use of Building (check) <br />Type of Project (check) <br />Residential d Commercial ❑ Senior Housing ❑ <br />New 1� Addition ❑ Alteration ❑ <br />[Description of Project <br />�; �'�� ��'i'C1C�'�Ct� ADU <br />Number of Square Feet of <br />Residential Space 305 Sq.Ft x $ 6 � <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space <br />Sq.Ft x $ <br />(Dev. Fee) <br />Total $ <br />Total $ <br />lots4.05 <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 />C4 V� �P <br />Applicant Name (Please Print) D e <br />Signat re <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 />R I � <br />San Ana Unified School Disi -act Authorized Representative <br />DISTRIBUTION <br />White - City/County <br />Canary - Applicant <br />Pink - Facilities <br />�Cl I s [ 2 s <br />Date <br />