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Sp�►tA 4 <br />C Certificate of Compliance <br />Payment of School Facility Fees <br />N00- Santa Ana Unified School District <br />CITY OF SANTA ANA <br />Planning and Building Agency <br />AppRV <br />FOR PERMIT ISSUA <br />Name (First, M1, Last) Telephone Master ID: <br />Pam -P ho n 9�q - a <br />Project Address o 1 I ` ' A' Tract/Parcel Number <br />-I"71 VV McFadden Ave., Uni+Z 102123158 <br />City, State, Zip Code <br />5antta Ann, CA 92M} <br />Name (First, MI, Last) I Telephone <br />Use of Building (check) Type of Project (check) <br />Residential d Commercial ❑ Senior Housing ❑ New ❑ Addition d Alteration ❑ <br />Description of Project <br />Convert existitna 30-- sf ctctrc)ge A addition of 353 sf 40 ADU <br />Number of Square Feet of <br />Residential Space W00 Sq.Ft x $ 5.11 <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space <br />Sq.Ft x $, <br />(Dev. Fee) <br />Total $ 3, 412.20 <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 />�1i��tGh+ �IGlrr�s <br />Applicant Name se Print) <br />Signature <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 />�_�Gd �.' V,rtnZ�V1Sh� " t 2,q �Z <br />I zRepresentative. Date <br />Santa An Unified oo Di ct Authorized <br />DISTRIBUTION <br />White - City/County <br />Canary -Applicant <br />Pink - Facilities <br />