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I <br /> f <br /> 4u N SCHOOL DISTRICT <br /> P <br /> CERTIFICATE OF COMPLIANCE <br /> RESIDENTIAL/COMMERCIALPROPERTY DEVELOPER FEE <br /> I <br /> C4�lFOR�`P AB-2926/AB-181 <br /> I. (To be completed by the applicant, PLEASE PRINT OR TYPE) <br /> CONTRACTOR/FIRM NAME MAILING ADDRESS <br /> CITY, STATE, ZIP PHONE NUMBER <br /> ";O- HAJ $f/�/Cf�El.� 1��G�l�tl / �/d 1 D /��°D ✓fie /�/ <br /> HOMEOWNER NAME HOMEOWNER'S MAILING ADISRESS <br /> 31 11 �iQ,�aoN EZd,. -DISC() 9 �//-;4 <br /> PROPERTY ADDRESS MAILING ADDRESS, CITY, STATE, ZIP <br /> CITY PHONE NUMBER <br /> SUBDIVISION/LOT#d IF APPLICABLE <br /> II. (To be completed by County) <br /> 0030 dD Z -moo-(D I <br /> ASSESSABLE SO. FT. PER AB-181 ASSESSOR PARCEL NUMBER <br /> ESI ENTI OR COMMERCIAL 1 yew <br /> t! <br /> REPRESENTATIV f COUNTY <br /> III. (To be completed by School District) <br /> This is to certi that the - School District has received payment of <br /> fees perA V e• School District Board Resolution No. f <br /> It is understood that any alterations or changes in the assessable square footage for which a building <br /> permit is required will require a fee adjustment and the insurance of a new certificate of compliance to <br /> replace original certificate which would automatically terminate due said change. <br /> Z� 9 30 X$,�.py(DEVELOPER FEE) _ /y /,�, J� <br /> SQUARE FOOTAGE (AS CERTIFIED ABOVE) <br /> DATE /,-4/ REM CS <br /> C <br /> DES AT )ERUSALFMSCHOOLOISTRdPPLICANT gn e invalid Wihout fficial Dill <br /> 1400 SOUTH KOSTER ROAD <br /> Seal or Stamp) TRACK CA 95304-8824 Planning 50(9197) <br />