HomeMy WebLinkAboutRS031854_School Fee ReceiptNEWPORT-MESA UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: f ) City of Costa Mesa
( ) City of Newport Beach
( } County of Orange
Applicant: " k
Address:
Telephone Number:
Tract/Parcel and Lot Number(s): t - 7 V. t -r r
Location of Project: - '� n
Number of Square Feet of:
Residential Space
Commercial and
Industrial Space
Commercial/Industrial Project is: (Check One)
x $1.84
x$.30
N° 5029
District Receipt No. /
Plan Check No.1:5ei`,
Total ` _y
Total
Warehouse
Motel
Preschool
R g 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
This project is exempt because `
This certifies that the above -named Developer/Applicant has paid school faciMy 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: ! ,
Authorized Represent Owe
The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not
true, then this certificate shall automatically terminate and the appropriate CitylCokinty shall be notil4ed.
% ff
Date_-
Appicant