HomeMy WebLinkAboutRS042141_School Fee ReceiptNEWPORT-MESA UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AS 1600 AND AS 181
To. ( ) City of Costa Mesa
( ..) City of Newport Beach
( ) County of Orange
N2 5819
District Receipt No,
Plan Check No. 92S `2V2-1
Applicant
Address Z i i7ti
Telephone Number:
Tract/Parcel and Lot Number(s):
Location of Project: l J _ _ i
Number of Square Feet of:
Residential Space
..'�7
Commercial and
Industrial Space
Commercialllndustrial Project is: (Che+ k One)
1 _? -- x $1.84
x $ .30
Total
Total
Warehouse
Motel
Preschool
R R D
Bank
Auto Repair
Movie Theater
Neighborhood Shops
Hospital
Mini -storage
Racquet/Health
Large Office
Heavy Industrial
Hotel
Office Bldg.
Regional Shops
Medical Office
Restaurant
Light Industrial
Office Park
Fast Food
m ;
This project is exempt because
This certifies that the above -named Developer/Applicant has paid school facility fees in compliance with Government Code sections
53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction.
Checks are to be made payable to Newport --Mesa Unified School District.
By:
Authored Representative -
The above representation as to square rootage is true. Applicant agrees that if it is later determined #Md such representations are not
true, then this certificate shall automatically terminate and the appropriate City/County shall be notified.
Date:
Applicant