HomeMy WebLinkAbout15750 CITY OF DIAMOND BA� �.
--� DEPARTMENT OF COMMUNITY�DEVELOPMENT SERVICES
� � 21660 E.Copley Drive Suite 190 f
(909)860-3195 Fax(909)861-3117 PRESS
"�" BUILDING PERMIT APPLICATION FlRMLY
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WALNUT VALLEY U�IFIED SCHOOL DISTRICT
880 SOUTH LEMON AVENUE
� WALNUT, CALIFORNIA 91789
CERTIFICATE OF COMPLIANCE
With Fee Provisions of
Government Code Section 65996
DEVELOPER ���1'Y�PrN �,� J � ��I�(C• _ � �
Signature of pp icant
ADDRESS_ Ib��_.��F�Y�L'�-- pL• �`C- The person si gni ng represents that he/
(- she is authorized to sign on behalf of
; CITY/ZIP �(/�Y`�,,V� _ ��a� the owner/developer and that the
' information provided is true and
; TELEPHONE (`��) � b�a�ba� __________�___accurate to the best of his/her knowledse.
�------------- ------------------- ---- --------------------------- ---------- --
FEE SCHEDULE: THE DEVELOPMENT FEES LEVIED SY THE WALNUT VALLEY UNIFIED SCHOOL DISTRICT
UNDER PROVISION OF SECTION 65995 OF THE GOVERNMENT CODE ARE:
Residential Development $1.53/sq. ft.
Cortmercial/Industrial Development 0.25/sq. ft.
r----------------------------------------------------------------------------------------------------
` TRACT/PROJECT ADDRESS �'��� .�,�����a WALNUT � DIAMOND 8AR �
g NUMBER OF BUILDING(S) IN PROJECT � 91789 91765
€
BUILDING PERMIT APPLICATION NO(S) IF APPIICABLE
NEw LOT ADDRESS USE OF BUILDING AREA SQ. FT. FEE
1.
2.
� Che�k here if haae improvement/remodeiing project: c��
� �7�7 �f/JTUI'►?NLTL��'-� .J�r`Ue �r�F/'+�o�'..� ��4N���7�5 �t1�I L �00l�'I �� �
� Lot Address City/Zip escription of roj. Sq. Feet of
Addition
� Signature Superintendent of 8uildings Date
�-----------------------------------------------------------------------------------------------------•
g TO SE COMPlETED BY SCHOOL QISTRICT
�
! SUBTOTAL (ATTACH SHEETS)
�
TOTAL FEES DUE
� RECEIPT NUMBER
� This is to certify that all fees due to the Walnut Valley Unified School District
� under provision of Government Code Section 65995 as prerequisite to the issuance DA
of a Building Permit by the Department of Public Works have been received. Based ❑
� upan the information presented, this Certification of Compliance is hereby executed.
�
� This is to certify that the above described development has been determined to be
� EXEMPT from the development fees of Government Code Section 65995 and Building �
Permits may be issued therefore.
Exemption justification
-�`'�' .,.. ' �
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. Harvey Grimshaw, Ed.D., A sistant Superintendent 1/87
Fiscal and Facilities Management Rev. 2/88
Rev. 6/88