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Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />Developer/Applicant 11,/*(tq �Ls 011 <br />Address I/ Z <br />Telephone Number (7! y) <br />Project Location Sit2,-e- <br />Street Address City ZIP <br />OFFICE USE <br />("nA l/p , <br />Elem. School Int. School High School <br />CITY.QF, SANTA ANA <br />()ar8'trl Building Agency <br />Approved <br />FOR PERMIT ISSUANCE <br />Thomas Map No. <br />---------------------------------------------MY- -------------------------------- <br />Number of Square Feet <br />of Residential Space / X i Total <br />Number of Square Feet <br />of Commercial and <br />Industrial Space <br />$2z/2 S <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 />YJ <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 />< Uh <br />D e Developer/Applican <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 from <br />Bbllars $ <br />V <br />Cash Check Check No. Bank lw L C vt__ <br />U <br />ate Superintendent gnee <br />Garden Grove Unified chool District <br />(714) 6 - - 442 <br />9703.69' (Rev. 6/14) <br />