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Ni�T8Y6 SANTA <br />ing and Building <br />Developer/Applicant <br />Address <br />S <br />Garden Grove Unified School District <br />Certification of Compliance <br />Payment of School Facility Fees <br />�D A%trGo i <br />Telephone Number (7/y) <br />Project Location 9417"_1' <br />Str,eet Address L <br />city <br />E USE ! le' rruo,�41 <br />EIem. Sc of Int. High Sch <br />.-Ikppro red <br />FOR PERMIT ISSUAN E <br />gate: <br />ZIP <br />s Map No. <br />------------------------------------------i-------------------------------------------------------------------------------- <br />Number of Square Feet � l `�l� Total $ � 7 <br />of Residential Space r V " X <br />Number of Square Feet <br />of Commercial and <br />Industrial Space <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. F <br />ate Developer/Applicant <br />------------------------------------------------------------------------------------- <br />Receipt of Payment <br />This certifies that the above -named Developer/Applicant has paid school facility <br />compliance with Government Code Section 65995 and Education Code Section 17620. <br />J fa - <br />These fee have bAen received fro � A fco), <br />-,-,.. —4 <br />Cash Check <br />q/ I I �) Z_� <br />D to <br />fees in <br />V- J v <br />`t Dollars1.4 <br />$ C� <br />Check No. Z� Bark'�0 1'f i L�-- <br />Superinten <br />Garden Grove Uni <br />(714) <br />-6442 <br />gnee <br />of District <br />9703.69"(Rev.6/14) <br />