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S�htA AN4 <br />c n1 <br />_ 1�L•N iJ Vi <br />sCH00, <br />(First, Ml, La <br />r ��A k l 1 <br />Project <br />Certificate of Compliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />State Zip Code C` <br />�� �\�c \ `A <br />Name (First, Ml, Last) <br />Use of Building (check) <br />Residential ❑ Commercial Senior Housing ❑ <br />Description of Project <br />Number of Square Feet of <br />Residential Space <br />CITY OF SANTA ANA <br />Planning and Building Agency <br />5144 <br />Approved <br />FOR PFRMIT ISSUANCE <br />Telephone Master ID: <br />��--1- (_� Coati.- ,_4 � . <br />Tmct/Parcel Numbi <br />Telephone <br />Type of Project (check) <br />VONNNYU, r� <br />Sq.Ft x $ <br />(Dev. Fee) <br />NeiZ9 Addition ❑ Alteration ❑ <br />Total $ <br />Number of Square Fee (� L <br />Commercial Space , �'11 O— Sq.Ft x $ I � Total ` t <br />(Dev. Fee) <br />The above representations as to square footage are true. Applicant agrees that if it is later determined that such <br />representations are not true, then this certificate shall automatically terminate, and the appropriate City/County shall be <br />notified. Applicant 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 (Pleisi Pri ) <br />Signature <br />1,tl�t� <br />Date <br />This certifies that the above -named Applicant has paid school facility fees in compliance with all existing and applicable <br />sections of the Gov ment Code and Education Code. <br />Santa Xna Unified School District Authorized Representative Date <br />DISTMI J710N <br />White - CirylCounty <br />Conan• -Applicant <br />Pink - Facilities <br />