HomeMy WebLinkAbout_School Fee Form - BLDG-0438-2025$ifi'Lur.q.gplfipo
Building & Safety Division . 919 Palm Street'San Luis Obispo, CA
93401-32'18
School Fee Payment Certification
Email this form to alivingston@slcusd.org and then call 805-549-1213 or email for an appoi ntment in order to pay
fees.
The City cannot issue a building permit until the fee required by the San Luis Coastal Unified School District has been paid. T
applicant is responsible for taking this form to the school district offices at 1500 Lizzie Bldg C. The school district will determin
if'a fee is required, compute and collect the fee from the applicant, and certify payment in part "C" of this form. The applicant
must return this form to the Building Division and pay permit fees before the building permit can be issued. The phone numbe
for the school district is (805) 549-1213.
A. APPLICANT AND PERMIT INFORMATION
Permit Number: BLDG-0438-2025
ApplicantName: PaulAbbott
Assessor's Parcel Number:004-71 9-024
Project Address: 1424 Hansen Ln
B. BUILDING TYPE & SIZE INDICATED BY PERMIT APPLICATION
Building - New Single FamilyBuilding Type:
Floor Area:# New SQFT # Demo SQFT Total SQFT
Residential:
Gommercial
Total:3,819.00 0.00 3,819.00
application revie;rved by:
Mav tnt4
Vanessa Nichols,Coordinator Date
C. SCHOOL DISTRICT VERIFICATION OF FEE PAYMENT
I hereby certify that the required development fee has been paid to the San Luis Coastal Unified School District for the
building described above.
AB 2926 fee: Sq. Ft.x fee
3,819.00
0.00
0.00
0.00
3,819.00
0.00
Signature
TOTAL FEE CALCULATED $
Date