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Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />Developer/Applicant <br />Address <br />CITY OF 5*66TA ANA <br />Planning and Building ncy <br />Nogppq7c7d <br />FOR PERMIT ISSUANCE <br />Master ID: <br />Telephone Number (71 ',� C/r 3� 7 4 <br />Project Location _ 510,AQ C1S <br />Street Address City ZIP <br />/_� 70 <br />_`--------------------------------------L��� �--------------------- ------------------------------ <br />---- -- <br />Number of Square Feet of Residential Space 3 / �/� <br />�� x `r J ` Total $ <br />Number of Square Feet <br />of Commercial and <br />Industrial Space <br />X <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 <br />pursuant to Government Code Section 65995 and <br />within 90 days from the payment of the fee. <br />Date/ <br />a protest regarding the imposition of fees <br />Education Code Section 17620 must do so <br />Develop p ican <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 />Cash Check <br />1 V <br />ate <br />9703.69' (Rev. 6/14) <br />Check No. <br />rs $ <br />Superintendent <br />Garden Grove Unified <br />(714) 663-4 <br />g nee <br />of District <br />