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A <br />" ��y, G Certificate of Compliance <br />iiilllllllllllll������p <br />woo--� Payment of School Facility Fees <br />�scNoSanta Ana Unified School District <br />3uilding Owne <br />CITY OF SANTA ANA <br />h, <br />Planning'and Building Agency I <br />A46 525 <br />. ,Approved <br />FOR7'PERMIT ISSUANCE <br />Name (First, MI, Last) Telephone Ma r! pi . G <br />-m +Ay"Ir <br />� <br />Project Address Tract/Parcel iNumDer <br />t32 22.,(� <br />City, State, Zip Code CA <br />C1 � <br />Name (First, M1, Last) Telephone <br />0 bc;Ve <br />Use of Building (check) Type of Project (check) <br />Residential Commercial Senior Housing ❑ New ❑ Addition ❑ Alterations <br />Description of Project (cpivevf- c1%-fe4-c4C1vd L44,1i4mrr. J <br />�caoov�� ?w e ahd QkGtSec/ <br />OA 41%% oa 1 V U s f� 010 dU (4 to e c F �-- � ov C h <br />Number of Square Feet of <br />Residential Space Sq*F <br />Number of Square Feet of <br />Commercial Space, <br />t x $ so I amm7 <br />(Dev. Fee) <br />Sq. Ft x $ <br />(Dev. Fee) <br />Total$ � , � G Cl . 2 Z. <br />Total S <br />The above representations as to square footage are true. Applicant agrees that if it is later determined that such <br />are not true, then this certificate shall automatically terminate, and the appropriate City/County shall be <br />cant is hereby noticed that any party feline a protest reparding, the immvosition of fees t)ursuant to <br />Government Code Section 53080 must do so within 90 days from the payment of the fee. <br />representations <br />notified. Apple <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 />Santa <br />141 <br />DISTRIBUTION <br />White - Cit)-Xount)p <br />Canary - Applicant <br />Pink - Facilities <br />I I-Pistri« Aui <br />rev 1W <br />horized Representative <br />J.'S7. z c� <br />Date <br />--------------------------- <br />Scanned with <br />with <br />CamScanner'! <br />