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CITY OF S066TA A- NA <br />Planning and Building ncy <br />1W <br />Sp�tA 4,f4 <br />G <br />Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />Approved <br />FOR PERMIT 5MUCE <br />Master ID: <br />Name (First, MI, Last) Telephone ' <br />Project Address Tmct/Parcel Number <br />cgs CSZ4 inn 0 <br />, St`atte, Zip Code <br />Contactor/ArchitectfEngincer <br />Name (First, MI, Last) I Telephone <br />Use of Building (check) Type of Project (check) <br />Residentii4 Commercial ❑ Senior Housing ❑ New ❑ Additif2�4 Alteration ❑ <br />Description of Project <br />ram' <br />Number of Square Feet of <br />Residential Space Sq.Ft x $ Total <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space 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 />17 �� z <br />Ap cant Nfime (Please nt) Date <br />c_1� ` / <br />Signat re <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 An nified School District Authorized Representative Date <br />DISTRIBUTION <br />While - City/Connry <br />Canary -Applicant <br />Pink - Facilities <br />