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alato of California - Department of Fish and Wlidllfe <br />2017 ENVIRONMENTAL FILING FEE CASH RECEIPT <br />DFW 753.5a (Rev. 01101/17) Previously DFG 753.5a I <br />r <br />30.2017 0712 <br />LEADAGENCY EMAIL <br />CITY OF SANTA ANA <br />SEPULVEDA SAFE ROUTES TO SCHOOL PROJECT <br />07/06/2017 <br />201785000723 <br />MONICA SUTER, CITY OF SANTA ANA (P CO 647-5645 <br />PROJECT APPLiCANTADDRESS CITY STATE ZIP CODE <br />20 CIVIC CENTER SANTA ANA CA 92702 <br />PROJECT APPLICANT (Check appropriate box) <br />Q Looai Public Agency School District i Q Other Special District © State Agency Private Entity <br />CHECK APPLICABLE FEES: <br />❑ Environmental Impact Report (EIR) <br />❑ MltlgatedlNegative Declaratlon(MND)(ND) <br />❑ Certified Regulatory Program document (CRP) <br />El Exempt from fee <br />O Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />❑ Fee previously paid (attach previously Issued cash receipt copy) <br />$3,078.26 <br />$ <br />0.00 <br />$2,216.25 <br />$ <br />0.00 <br />$1,046.60 <br />$ <br />0.00 <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ <br />❑ County documentary handling fee $ <br />❑ Other $ <br />PAYMENTMETHOD: <br />❑ Cash ❑ Credit ❑ Check ❑ Other TOTAL RECEIVED $ <br />x 1 I YARA VALDOVINOS, DEPUTY CLERK <br />rim <br />1 11 <br />ORIGINAL. PROJECT APPLIOAM CON -CDFNIAaa COPY-LEADAGENCY COPY -COUNTY CLERK DPW 753.50(RW. 20151216) <br />