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CITY OF SANTA ANA <br />Nam< <Firsm,N11,1 ast) <br />�\ C <br />its State, Zip C <br />uescnption of Proiect <br />umber of Square Feet of <br />Residential Space <br />Number of Square Feet of <br />Commercial Space <br />Certificate of ('nmpliAnce <br />ymem of Nchunl F•srlllt% Feci <br />Santa Ana t,n�fie�l .Schonl D'1'qtr'J*ct <br />Sq.Ft x $ <br />(Dev. Fee) <br />Sq, Ft x $ <br />(Dev. Fee) <br />Planning and Building Agency,l <br />rip <br />Approved <br />FOR PERMIT ISSUANC <br />.� . <br />Master ID: <br />Tele hont. Date <br />(tact Parcel Number <br />'I'elephone <br />of Project (check) <br />NeGrfi Addition <br />Total S <br />Total S <br />Iteration <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 automaticallyate terminate, and the appropno <br />City/count-Nr 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 />e (Please Print) <br />Lure <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 />v Lz�wz I z I Z. X <br />antA Ana Unified School District Atitt ori;r ci R4presentative <br />DISTRIBUTION <br />Whine -City/County <br />Canuty -Applicant <br />Pink -Facilities <br />Date' <br />