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CITY OF SANTA ANA <br />Planning and Building Agency <br />No. 8162 <br />Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />it'llDeveloper/Arplicant I <br />Address <br />Telephone Number ('/ ) W67, <br />Aly� V S r&4. b� <br />Approved <br />FOR PERMIT ISSUANCE <br />MaAef--ID: <br />Date: 7 <br />Project Location 51fIV'I-�- <br />Street Address city Z I P <br />FFI <br />Elam. School Int. School High ScKo—ol Thomas Map No. <br />-------------------------------- - - ------- <br />Number of Square Feet �� � � U, �� <br />of Residential Space 1j X Total $ 3, <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 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 />IF D6ite <br />Receipt of Payment <br />Developer/Applicant <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 />w I <br />Cash Check ✓ Check No. Ba <br />__A?_�_ <br />Date <br />9703.69' (Rev 6/14) <br />Dollars <br />Superinten <br />Garden Grove Uni <br />(714) ( <br />$ 0 73.9.E <br />'S <br />6t Designee <br />id School District <br />3-6442 <br />