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SpHTA 4''r4 <br />z v <br />°scN00, <br />Name (First, MI, Last) <br />Project Address <br />State, Zip Code <br />Name (First, Ml, Last) <br />Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />c <br />Won Choi <br />k}-el l oo- (0 A <br />h <br />Telephone <br />4M- <br />Tract/Parcel <br />)VL`al11 <br />Telephone <br />CITY OF SANTA ANA <br />Planning and Building Agency <br />5092 <br />Approved <br />FOR PERMIT ISSUANCE <br />Use of Building (check) Type of Project (check) <br />Residential. Commercial ❑ Senior Housing ❑ NeQI�6 Addition ❑ Alteration ❑ <br />Description of Project <br />Number of Square Fe c.r <br />Residential Space �*� Sq.Ft x $ ' , Total $q, p(� <br />i . (Q0•— <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 />- N 17= % F-0 e-A ll - zr_ 2 a -z S-- <br />Applicant Name (Please Print) Date <br />J:. <br />Sign ur <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 />Ana Unified School District Authorized <br />Date <br />DISTRIBUTION <br />White - City/Couno, <br />Canary - Applicant <br />Pink - Facilities <br />