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Name (Fi <br />t, Last) <br />13r9ject Address <br />0000,11' eb <br />C ty, State, Zip Code <br />Name (First, MI, Last) <br />Use of Building (check) <br />Residenti@:E4 Commercial ❑ <br />Description of Project <br />Certificate of Iompliance <br />Payment of School Facility Fees <br />Santa Ana Unified School District <br />Senior Housing ❑ <br />Number of Square Feet of <br />Residential Space <br />� rc)4 Sq.Ft <br />x $5.1 <br />Number of Square Feet of <br />Commercial Space Sq.Ft x $ <br />CITY OF SANTA ANA <br />Planning and Building Agency <br />:rrfl <br />lip <br />.„ApprSvea <br />FOR"EATPERMIT ISSUANCE <br />Master ID� <br />Icphonc Date <br />"tract/Parcel Number <br />Telephone <br />Type of Project (check) <br />Nep Q Addition ❑ Alteration ❑ <br />(Dev. Fee) <br />(Dev. Fee) <br />0 <br />A-n Al( ()C" <br />Total$ < <br />Total $ <br />The above representations as to square footage are true. Applicant agrees that if it <br />representations are not true, then this certificate shall automatically terminate, and the a <br />notified. Applicant is hereby noticed that any party filing a protest regarding the i <br />Government Code Section 53080 must do so within 90 days from the payment of the fee. <br />In <br />Signature <br />is later determined that such <br />ppropriate City/County shall be <br />mposition of fees pursuant to <br />This certifies that the above -named Applicant has paid school facility fees in compliance with all existing and applicable <br />sections of the Government Code and Education Code. <br />ida Ana Unified school District Al <br />DISTRIBUTION <br />White - clnoico„nn, <br />Canaty • Applicant <br />Pink - Facilities <br />iorizcd Representative <br />/3 <br />te <br />Z� <br />