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CITY OF SANTA ANA <br />PIaNO a��,u�l�ng Agency <br />Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />Approved <br />FOR PERMIT ISSUANCE <br />Developer/Applicant <br />(N VIA <br />Master ID: <br />Address ��7 V <br />✓' 7 <br />V <br />ate: L� Z73 b <br />Telephone Number (�' �) 5 <br />4f — Q 3Z3 <br />Project Location ► e <br />-1) <br />Street Address <br />City <br />ZIP <br />OFFICE USE yA <br />iv Il ti(it►'✓� ✓1 <br />Lk <br />Elem. Schooy <br />Int. School <br />High School <br />Thomas Mar, No. <br />° <br />-----------------------------------��g------►-------` --- -- <br />Number of Square Feet <br />of Residential Space 2� 1F� X 7 <br />-----------..... --- <br />Total $ <br />4f-- <br />Number of Square Feet <br />of Commercial and <br />Industrial Space <br />- <br />X <br />—� <br />`� <br />Total $ <br />The above representations as to square footage are true. Developer/Applicant agrees that if it is <br />later determined that such representations are not true then this certificate shall automatically <br />terminate and the appropriate City/County shall be notified. <br />Applicant is hereby noticed that any party filing a protest regarding the imposition of fees <br />pursuant to Government Code Section 65995 and Education Code Section 17620 must do so <br />within 90 days from the payment of the fee. <br />ate Developer/Applicant <br />------------------------------------------------------------------------------------------------------------------------------- <br />Receipt of Payment <br />This certifies that the above -named Developer/Applicant has paid school facility fees in <br />compliance with Government Code Section 65995 and Education Code Section 17620. <br />These fee have been received <br />Cashheck Check No. <br />�Izil-16 <br />Date <br />ollars $ CJ <br />Bank <br />PIA^"C kA, <br />Superintendent Designee <br />Garden Grove Unified School District <br />(714) 663-6442 <br />9703.69' (Rev. 6/14) <br />