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ORANGE UNIFIED SCHOOL DISTRICT <br />CERTIFICATE OF COMPLIANCE <br />PAYMENT OF SCHOOL IMPACT FEES <br />Applicant/Owner Information <br />Applicant Name: Lillian Granillo <br />Property Owner Name: <br />Project Information <br />CITY OF SANTA ANA <br />Planning a� l Agency <br />FOR PER ,S ANCE <br />Master ID: <br />Date:, <br />Phone Number: (909) 241-2095 <br />Phone Number: <br />Project Address: 805 E Clemensen Ave, Santa Ana Ref. Number: 101125421 <br />Project Type: Accessory Dwelling Unit (ADU) <br />uare Footage: 716 Rate per sq/ft: 0 Developer Fee Total: $0 <br />Developer Fee Determination <br />❑ Developer fees have been paid in full If waived, reason: <br />® Developer fees are waived Attached ADU under 750sf <br />Additional notes: <br />I certify that the above representations are true and correct. I agree that if it is later determined that such <br />representations are not true, then this Certificate of Compliance shall automatically terminate, and the <br />appropriate City/County shall be notified. <br />NOTICE: The 90-day period in which you may protest the fee described herein will begin on the date this fee is <br />paid. However, if the fee was imposed by the City or County as a condition of approval for your project, and <br />you have received the requisite notice, the 90-day protest period began at the time your project was <br />approved by the City or County. <br />Owner/Applicant Signature <br />District Office Use <br />This certifies that the above -named applicant or owner has paid school impact fees in compliance with <br />Education Code Section 17620 et seq. and Government Code Section 65995 et seq. <br />OUSD Authorized Agent Sign a Date <br />Rev. 03/2026 <br />