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CITY OF SANTA ANA <br />SpNTA 4Aq Planning and Building Agency <br />z - 0 � Certificate of Compliance 5105 <br />5� Payment of School Facility Fees Approved <br />°scHoo��� Santa Ana Unified School District FOR PERMIT ISSUANCE <br />Building <br />Name (First, MI, La t) T lephone Master ID: <br />Project Address Tract/Parcel Number _ <br />AC�,� �CAOCA �A 1 <br />Cirg, State, Zi� CIode <br />Name (First, MI, Last) I Telephone <br />Use of Building (check) Type of Project (check) <br />Residential Commercial ❑ Senior Housing ❑ NewU Addition ❑ Alteration ❑ <br />Description of Project <br />:Z�RV,cy-"O'n <br />Number of Square Feet of <br />Residential Space �� Sq.Ft x $ Total $ I <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space <br />Sq.Ft x $ <br />(Dev. Fee) <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 />A.A r c; -� <br />Applicant Name (Please Print) Date <br />Signat e <br />This certifies that the above -named Applicant has paid school facility fees in compliance with all existing and applicable <br />sections of the Gover t Code and Education Code. <br />Santa A a Unified ool District Authorized Representative Date <br />DISTRIBUTION <br />White - City/Count) <br />Canary - Applicant <br />Pink - Facilities <br />