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CITY OF SANTA ANA <br />a o <br />SCHoo�� <br />Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />Name (First, M1, Last) <br />ryce' mordo'f � Case <br />Project Address <br />City, State, Zip Code <br />Name (First, MI, Last) <br />2UI'l <br />I )anfiD' <br />Thom <br />N Green eaf S+. <br />Aoxt.,, CA 92JO(o <br />Use of Building (check) <br />Residential[A CommercialEl Senior HousingE] <br />Description of Project <br />Number of Square Feet of <br />Residential Space <br />Abu <br />5iD4 <br />Planning and Building Agency <br />5241�- <br />Approved <br />FOR PERMIT ISSUANCE <br />Master ID: <br />Telephone Date: <br />Son 94LI.- AL4 - I 1'-18 <br />Tract/Parcel Number <br />i0112y083 <br />Telephone <br />Type of Project (check) <br />New [ Addition ❑ Alteration ❑ <br />e Con\qersicn <br />Sq. Ft x S 5 -Ff <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space Sq. Ft x S <br />(Dev. Fee) <br />Total s 2. q 15. 68 <br />Total $ <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 />1Z11� <br />Applican 'ame (Please Print) <br />Sikna4ure <br />determined that such <br />City/Count. shall be <br />of fees pursuant to <br />This certifies that the above -named Applicant has paid school facility fees in compliance with all existing and applicably <br />sections of the Government Code and Education Code. <br />San <br />DISTRIBUTION <br />White - City/County <br />Canary -Applicant <br />Pink - Facilities <br />ized Representative <br />trace <br />245 <br />