School Form
SCHOOL DISTRICT FACILITY FEES
VERIFICATION FORM
HIGH SCHOOL DISTRICT _______________________________________
OWNER: _________________________ PHONE: ______________
ADDRESS: _______________________ CITY/ZIP: _______________________________
APPLICANT: _____________________ PHONE: ___________________________
SITE ADDRESS: __________________ CITY: CYPRESS, CA 90630
RESI: _________ SQ.FT. / COMM: _______ SQ.FT. / TRACT: _____ LOT NO: _____
CHECK ALL THAT APPLY:
_______ NEW ______ ADD’N ______ 1 STORY _____ 2 STORY
_______SINGLE FAMILY ______ MULTIFAMILY ______ # OF DWELLING UNITS
NOTE: SQUARE FOOTAGE ESTIMATES ARE BASED ON DOCUMENTATION SUBMITTED
_______________________________________________ ________________________________
CITY REPRESENTATIVE DATE
_______________________________________________ ________________________________
APPLICANT SIGNATURE DATE
TO BE COMPLETED BY THE SCHOOL DISTRICT
CALCULATIONS:
COMMENTS:
ACTUAL FEES PAID: _____________ CHECK NO: _______ DATE: _______
SCHOOL DISTRICT REPRESENTATIVE: _______________________________
Anaheim Union
School District
501 Crescent Way
Anaheim, CA
714-999-3555