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) <br />I <br />D <br />MEMORANDUM <br />TO: Finance & Management Services Agency <br />FROM: Planning and Building Agency <br />SUBJECT: Miscellaneous Cash Transaction <br />MCT # 49308 <br />Tuesday, March 17,2024 <br />-st <br />All fees are subject to change at any time and may also be affected by scheduled adjustments on July 1 of each year. The Payee must <br />pay the prevailing rate at the time payment is made. <br />ISSUED TO; Maryam Farshidpour <br />Casa Dental of Santa Ana <br />ADDRESS: 1334W1st St <br />Santa Ana, CA 92703 <br />TOTAL MCT AMOUNT $ 481.68 <br />Comments: <br />202G158464 <br />lssued By. Graham, Jeffery (Planning and Building Agency) <br />GL Account # <br />01 1 16002 51605 <br />Total <br />$481.68 <br />PROJECT NAME: <br />PROJECT ADDRESS: <br />Casa Dental of Santa Ana <br />1334 W First St, Santa Ana, C492703-3723 <br />MASTER tD#2020-158464 <br />AP #007-211-40 <br />Application # COO-2020-21 s-CO Permit # <br />ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. <br />1 Certificate of Occupancy (Fee Purposes Only)1.0000 $481.68 $481.68 01116002 51605 <br />cpt+:rr2916936 " 3/17l2U2Lr :li <br />rnnso,.:t ior' Totnl $Su <br />F ARliH] DF'UUH <br />(:ert if icot,e of 0ccupttncc <br />tt1I I6tltl?- I'l6tli tltltl*tiiso <br />(:{:+ : r***tt*xti*tt*r ?3gI <br />NOTES:For payment to be considered complete, a <br />Miscellaneous Cash Transaction (MCT) must be paid <br />in full. Applicant must return to Planning with <br />stamped cashier validation of the paid MCT for <br />closure in the Planning system. <br />Page 1 of 3