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CITY , � ANA <br />Pla n' Uild v ency <br />SpHTA qNq <br />v ORAN <br />� SEAT OF <br />R`�'�TRMI� CE <br />Certificate of Compliance <br />cos 0�5� Payment of School Facility Fees <br />HOo� Slaita Ana Unified School District <br />Mtaser ID: ,r. <br />FOUNDED 7869 <br />i 1 <br />OF --11 <br />r <br />Name CFjLr4%4MI, Last) _ Teleph ne <br />lc I /I <br />Project Address ract/Parcel Number <br />City, State, Zip Code <br />Name (First, MI, Last) Telephone <br />1/ <br />Use of Building (c c Type of Project (check) <br />Residential Commercial ❑ Senior Housing ❑ New ❑ Addition ❑ Alteratio�� <br />Desc tion of P{ ojec <br />Number of Square Feet o � � • r� I j � <br />Residential Space S t x $ _ <br />Total S <br />(Dev. Fee) <br />Number of Square Feet of <br />Commercial Space Sq.Ft x $ Total S <br />(Dev. Fee) <br />The above representations as to square footage are true. Applicant agrees that if it is later deterillilled that such <br />representations are not true, then this certificate shall automatically terminate, and the appropriate City/County shall be <br />notiieican 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 />Applicant Name (Please Print Date <br />001PI <br />natur <br />This certifies that the above -named Applicant has paid school facility fees in compliance with :ill existing and applicable <br />sections o the over Wentent d Code Education Code. <br />M MI <br />Sant no nine , chool DlsWict Authorized Ile eseiitiit"Ive Date <br />1)1,V1-'1?1BtJT10N <br />Whato MW CHVIC01inty <br />C I an(Irry - Applicant <br />I -link - l�u01111es <br />aj <br />