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V� <br />�hK <br />�rk0\00-;Oe <br />Catifilente of Compliance <br />I '�1Nmcnl of School Facility Fees <br />So�nl:� Anp Uuifii��l ticlioul 1)irlrict <br />Name �I ir.i. \11, 1 psi) <br />1�C1bCti`1 <br />Garrido <br />Address <br />�10� N Spr��ce st <br />tV.6 Slrliltev Zip Code <br />Name (Firsm. MI, Last) <br />Santa &xzu, CA 9240c <br />Use of Building (check) <br />Residential 1?f Commercial ❑ <br />Description of Project <br />Exi S`Fi <br />Number of Square Feet of <br />Residential Space qqo <br />Number of Square Feet of <br />Commercial Space <br />Senior Housing 1:1 <br />hoose bdd++ion <br />fclephunc <br />414 -,o 2q3 <br />CITY OF SANTA ANA <br />Planning and Bu0 <br />ilding Agency � <br />FOR PERMIT ISSUANCE <br />Master ID: <br />Date: <br />"Tract/Parcel Number <br />1011231g10 <br />"Telephone <br />Type of Project (check) <br />New 1:1 Addition d Alteration ❑ <br />Sq. Ft x S S.I} <br />(Dev. Fee) <br />Sq. Ft x $ <br />(Dev. Fee) <br />Total S ExEMPT <br />Total S <br />The above representations as to square footage are true. Applicant agrees that if it is later <br />representations are not true, then this certificate shall automatically terminate, and the appropriate <br />notified. Applicant is hereby noticed that any party filing a protest regarding the imposition <br />Government Code Section 53080 must do so within 90 days from the payment of the fee. <br />Applicant Name (Ple <br />Signature <br />int) <br />C(f Y I N ck,� <br />determined that such <br />City/County shall be <br />� of fees pursuant to <br />Date <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 />San <br />presentative <br />M-Iff"% <br />DISTRIBUTION <br />White - ChylCounty <br />Canary -Applicant <br />Pirlk-1,acilities <br />