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CITY OF SANTA ANA <br />Planning and Building Agency <br />Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School facility Fees <br />Developer/Applicant AlA_t) <br />Address 1 02_S (;410(A '-)K <br />N Approved <br />FOR PERMIT ISSUANC <br />Master ID: <br />Telephone Number (I IV) _(p 6 _� !7-7 / '� <br />Project Location smiq aS Q Wye, <br />Street Address City /iP <br />v1 <br />Elem. Scho& Int. School High School %J Thomas Map No <br />--------------------------------------- � ------------------------------------------------------------------------- <br />Number of Square Feet <br />of Residential Space a X 51 1 % Total $ (Qt Z <br />Number of Square Feet <br />of Commercial and / <br />Industrial Space 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 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 />� A , <br />Date Dev�foper/A'Wicant <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 <br />Education Co e Section 17620. <br />4These fee have been received from �- r I Y III G� <br />�1 ►1 el ✓NuhDollars $ 0 Z. <br />Cash Check V Check No. Bank NIA VISIM M hliTy) <br />01 <br />s K4 <br />Date Superintendent Designee <br />Garden Grove Unified School District <br />(714) 663-6442 <br />9703 69' (Rev. 6/14) <br />----------------------------- <br />Scanned with <br />m CamScanner <br />