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CITY OF SANTA ANA <br />Planning and Building Agency <br />Sa�►iA q*W Approved' <br />FOR PERMIT ISSUANCE <br />Certificate of Compliance 5202 <br />'��scll001. Payment of School Facility Fees Ma <br />Santa Ana Unified School District <br />Date: <br />Name (First, MI, Last) Telephone <br />Vincente Marque 7 q4q-6bl0--4131 <br />Project Address Tract/Parcel Number <br />206q S Evergreen &. 101122864 <br />City, State, Zip Code <br />Santa Ana, CA 92101 <br />Name (First, MI, Last) I Telephone <br />Use of Building (check) Type of Project (check) <br />Residential d Commercial ❑ Senior Housing ❑ New 9 Addition ❑ Alteration ❑ <br />Description of Project <br />New 17. eetached ADU <br />Number of Square Feet of <br />Residential Space �q8 <br />Number of Square Feet of <br />Commercial Space <br />Sq.Ft x $ S.1- <br />(Dev. Fee) <br />Sq.Ft x $ <br />(Dev. Fee) <br />Total S 4,125. 6(P <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. <br />Applicant Name (Please Print) Date <br />y(5e,�1" A <br />Signature <br />This certifies that the above -named Applicant has paid school facility fees in compliance with all existing and applicable <br />sections of the Governm ode and Education Code. <br />Santa Ana itied Sch District Authorized Representative Date <br />DISTRIBUTION <br />While - Ciry/County <br />Canary - Applicant <br />Pink - Facilities <br />