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CITY OF SAWK& ANA <br />Planning and Building ency <br />1W <br />Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />Developer/Applicant v lam, E c ,12_1_ V <br />Address <br />k <br />nnII ed <br />FOP��IEWXSUANCE <br />Master ID: <br />Date: <br />Telephone Number (7' 1) 6 0 Y- 660 <br />Project Location S44--e- <br />Street Address City _ ZIP <br />yAm=e <br />Eiem. School <br />rL 64Wv- A_ OVVI J"�. <br />Int. School <br />'711A <br />High School <br />Number of Square Feet 6� <br />of Residential Space X r <br />Number of Square Feet <br />of Commercial and <br />Industrial Space <br />X <br />Thomas Map No <br />Total v <br />Total $ <br />Z <br />k__5-05�� <br />/t,,l) Ad--� <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 />_5/41�_ <br />ate <br />a protest regarding the imposition of fees <br />Education Code Section 17620 must do so <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 SeclignA7620. <br />These fee have been received <br />Dollars $ -� <br />Cash Check Check No. Bank <br />/s zA ,- <br />Da Superintend Designee <br />Garden Grove Unif School District <br />(714) 663-6442 <br />9703.69' (Rev. 6/14) <br />